| Doctor Name: | MS. STACI M ROBINSON |
| NPI Number: | 1104126564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 411 Grant St Slc, UT - 841162725 |
| Business Phone Number: | 8013598862 |
| Business Fax Number: | 8013598510 |
| Mailing Address: | 7945 English Oaks Cv, SANDY |
| State: | UT |
| Postal Code: | 840936345 |
| Phone Number: | 8019426859 |
| Fax Number: | 8019426859 |
| NPI Enumeration Date: | 11/01/2010 |
| NPI Last Update Date: | 11/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |