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Search › Utah › 104100000X

Robert Gordon, SSW

NPI 1538669965 · on the registry since 2018

Practice

Address
750 N Freedom Blvd
Provo, UT 84601
Phone
(801) 373-4760
Fax
(801) 373-0639
Organisation at this address
Wasatch Mental Health
Wasatch Mental Health
Wasatch Mental Health
Wasatch Behavioral Health Special Service District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,547

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-02-12

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