Doctor Name: | DR. CHRIS MCROBERTS |
NPI Number: | 1306162110 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 3696022501 |
Business Practice Address: | 1417 Haight Creek Dr Kaysville, UT - 840373004 |
Business Phone Number: | 4358304058 |
Business Fax Number: | 8014512011 |
Mailing Address: | 1417 Haight Creek Dr, KAYSVILLE |
State: | UT |
Postal Code: | 840373004 |
Phone Number: | 4358304058 |
Fax Number: | 8014512011 |
NPI Enumeration Date: | 04/19/2010 |
NPI Last Update Date: | 04/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3696022501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |