Provider Demographics
NPI:1720113046
Name:HALPIN, BOB L (LCSW LMFT)
Entity Type:Individual
Prefix:MR
First Name:BOB
Middle Name:L
Last Name:HALPIN
Suffix:
Gender:M
Credentials:LCSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 E 5600 SO SUITE 110
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107
Mailing Address - Country:US
Mailing Address - Phone:801-266-7858
Mailing Address - Fax:801-266-7858
Practice Address - Street 1:INDEPENDENCE SQUARE 151 E 5600 SO SUITE 110
Practice Address - Street 2:ROBERT L. HALPIN, LCSW
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107
Practice Address - Country:US
Practice Address - Phone:801-266-7858
Practice Address - Fax:801-266-7858
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1070573501104100000X
UT1070573902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist