Doctor Name: | JOSHUA ROUTT |
NPI Number: | 1336266063 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 8 Hospital Dr Morrilton, AR - 721104510 |
Business Phone Number: | 5013541561 |
Business Fax Number: | 5013541564 |
Mailing Address: | 110 Skyline Dr, RUSSELLVILLE |
State: | AR |
Postal Code: | 728013362 |
Phone Number: | 4799675570 |
Fax Number: | 4798905364 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 10/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |