Doctor Name: | DAVID WILLIAM EMMETT |
NPI Number: | 1316002413 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 128918-3501 |
Business Practice Address: | 335 W 50 N Suite 15 Vernal, UT - 840782006 |
Business Phone Number: | 4357909055 |
Business Fax Number: | |
Mailing Address: | 335 W 50 N, Suite 15 VERNAL |
State: | UT |
Postal Code: | 840782006 |
Phone Number: | 4357909055 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 128918-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |