Fairbanks, Robert Daniel

Fairbanks, Robert Daniel is an sole proprietor health care provider with primary practice located at 200 N Anderson Ln , Lindon UT 84042-1110. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fairbanks, Robert Daniel can be contacted via phone (801) 785-1761.

Contact Information

Primary practice address
200 N Anderson Ln Lindon UT 84042-1110
Phone: (801) 785-1761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X 56012843502 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5601284-3501 Utah

Profile Details

NPI number 1164702445
LBN Legal business name Fairbanks, Robert Daniel
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2011
Last updated Jun 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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