Individual
ROBERT GOMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDS
Contact information
Practice address
280 W 940 N, PROVO, UT 84604-3326
(801) 374-4800
Mailing address
629 E 2875 N, PROVO, UT 84604-4235
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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