Provider Demographics
NPI:1306162110
Name:MCROBERTS, CHRIS (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:MCROBERTS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 HAIGHT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-3004
Mailing Address - Country:US
Mailing Address - Phone:435-830-4058
Mailing Address - Fax:801-451-2011
Practice Address - Street 1:1417 HAIGHT CREEK DR
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-3004
Practice Address - Country:US
Practice Address - Phone:435-830-4058
Practice Address - Fax:801-451-2011
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3696022501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical