Provider Demographics
NPI:1568667459
Name:HARDCASTLE, ROBYN ANNE
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:ANNE
Last Name:HARDCASTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 E 4500 S STE 202
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-3014
Mailing Address - Country:US
Mailing Address - Phone:801-262-9619
Mailing Address - Fax:801-262-9630
Practice Address - Street 1:860 E 4500 S STE 202
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-3014
Practice Address - Country:US
Practice Address - Phone:801-262-9619
Practice Address - Fax:801-262-9630
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor