Provider Demographics
NPI:1073753984
Name:GEMMILL, ROBERT HOLT (DSW)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HOLT
Last Name:GEMMILL
Suffix:
Gender:M
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 EAST ST. GEORGE BLVD
Mailing Address - Street 2:RED ROCK CANYON SCHOOL
Mailing Address - City:ST. GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-6210
Mailing Address - Country:US
Mailing Address - Phone:435-673-6111
Mailing Address - Fax:435-673-0994
Practice Address - Street 1:747 EAST ST. GEORGE BLVD
Practice Address - Street 2:RED ROCK CANYON SCHOOL
Practice Address - City:ST. GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-6210
Practice Address - Country:US
Practice Address - Phone:435-673-6111
Practice Address - Fax:435-673-0994
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT116727-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical