| Doctor Name: | ROBERT DUANE SIMONSON |
| NPI Number: | 1275828949 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CSW |
| License Number: | 7769417-3502 |
| Business Practice Address: | 4800 East 17160 North Moroni, UT - 84646 |
| Business Phone Number: | 4354365321 |
| Business Fax Number: | 4354365322 |
| Mailing Address: | Po Box 28, MORONI |
| State: | UT |
| Postal Code: | 846460028 |
| Phone Number: | 4354365321 |
| Fax Number: | 4354365322 |
| NPI Enumeration Date: | 06/10/2011 |
| NPI Last Update Date: | 06/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 7769417-3502 |
| 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 |