Doctor Name: | MR. RICHARD STUART ROBINSON |
NPI Number: | 1205800737 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 350585-3501 |
Business Practice Address: | 1753 Sidewinder Dr Park City, UT - 840607258 |
Business Phone Number: | 4354799079 |
Business Fax Number: | |
Mailing Address: | 1335 Sherman Ave, SLC |
State: | UT |
Postal Code: | 841052617 |
Phone Number: | 8015834903 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2006 |
NPI Last Update Date: | 02/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 350585-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |