DR. ROGER DALE GISSEMAN PH.D. NPI 1619267549

NPI Information

NPI: 1619267549
Provider Name: DR. ROGER DALE GISSEMAN, PH.D.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
177 PRICE AVE
SALT LAKE CITY, UT
ZIP 84115
Phone: (385) 468-4531
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DR. Roger Dale Gisseman, PH.D. is a professional counselor in Salt Lake City, UT. DR. Roger Dale Gisseman, PH.D. NPI is 1619267549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

177 PRICE AVE
SALT LAKE CITY, UT
ZIP 84115-345
Phone: (385) 468-4531

The enumeration date for this NPI number is 4/12/2011 and was last updated on 4/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	3162878-6004	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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