Stark, Robert

Stark, Robert is an individual health care provider with primary practice located at 4460 S Highland Dr Ste 210 , Salt Lake City UT 84124-3550. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Stark, Robert can be contacted via phone (888) 949-4864.

Contact Information

Primary practice address
4460 S Highland Dr Ste 210 Salt Lake City UT 84124-3550
Phone: (888) 949-4864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 900 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 11425200-6004 Utah

Profile Details

NPI number 1215197405
LBN Legal business name Stark, Robert
Credentials MA, PCI, MRAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Mar 4th, 2020 - about 5 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.

Request for update

Popular Providers