Doctor Name: | ROGER HOLLINGSWORTH |
NPI Number: | 1013234129 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L,C,S,W. |
License Number: | 297382-3501 |
Business Practice Address: | 1438 N Highway 89 Suite 130 Farmington, UT - 840252737 |
Business Phone Number: | 8014999059 |
Business Fax Number: | |
Mailing Address: | 1146 N 3100 E, LAYTON |
State: | UT |
Postal Code: | 840403003 |
Phone Number: | 8014999059 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2010 |
NPI Last Update Date: | 12/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 297382-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |