Search › Utah › 1041C0700X
Robert Fairbanks, LCSW
NPI 1164702445 · on the registry since 2011 · sole proprietor
Practice
- Address
- 200 N Anderson Ln
Lindon, UT 84042 - Phone
- (801) 785-1761
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
104100000X - Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah