Organization
CACHE VALLEY CENTER FOR COUPLES AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W. DAVID ROBINSON PHD (OWNER)
(435) 932-0211
Entity
Organization
Contact information
Practice address
2150 N MAIN ST STE 9, LOGAN, UT 84341-1740
(435) 932-0211
Mailing address
751 E 500 S, SMITHFIELD, UT 84335-2517
(435) 932-0211
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114978269
NPI
UT
Enumeration date
10/29/2019
Last updated
10/29/2019
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