Doctor Name: | DR. ROBERT HOLT GEMMILL |
NPI Number: | 1073753984 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DSW |
License Number: | 116727-3501 |
Business Practice Address: | 747 East St. George Blvd Red Rock Canyon School St. George, UT - 847706210 |
Business Phone Number: | 4356736111 |
Business Fax Number: | 4356730994 |
Mailing Address: | 747 East St. George Blvd, Red Rock Canyon School ST. GEORGE |
State: | UT |
Postal Code: | 847706210 |
Phone Number: | 4356736111 |
Fax Number: | 4356730994 |
NPI Enumeration Date: | 03/05/2009 |
NPI Last Update Date: | 03/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 116727-3501 |
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 |