Provider Information for 1639568967
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ROBERTO DE GIORGIO LAMFT
Sex: Male
NPI: 1639568967
Last Updated: 2024-09-19
Certification Date: 2024-09-19
Certification Date: 2024-09-19
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1639568967 | ||||||||
| Enumeration Date | 2015-01-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 934 S MAIN ST LAYTON, UT 84041-7135 United States Phone: 801-773-7060 | Fax: | ||||||||
| Primary Practice Address | 129 S STATE ST STE 240 CLEARFIELD, UT 84015-1130 United States Phone: 801-773-7060 | Fax: | ||||||||
| Secondary Practice Address(es) | 934 S MAIN ST | ||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|