MEDICARE: DR. ROBERT J COURTNEY JR. PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TA0400X	Addiction (Substance Use Disorder) Psychologist	332715-2501	UT

General Provider Information

NPI Number	:	1912048323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J COURTNEY JR. PHD

Provider Business Mailing Address
First Line	:	521 5TH AVE APT 603
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-2664
Country	:	US
Telephone Number	:	801-581-6228
Fax Number	:	801-585-6702

Provider Business Practice Location Address
First Line	:	30 N 1900 E
Second Line	:	1R52 SOM
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-2119
Country	:	US
Telephone Number	:	801-581-6228
Fax Number	:	801-585-6702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	11/12/2021

Similar Medicare Providers

1053452672 — DR. MARTINA RICH PHD
Practice Location Address:

30 N 1900 E , 1R52 SOM
SALT LAKE CITY, UT
84132-2119

Practice Phone: 801-581-6228
Practice Fax: 801-585-6702

1831230259 — DR. STEPHEN SHEPPARD PHD
Practice Location Address:

30 N 1900 E , 1R52 SOM
SALT LAKE CITY, UT
84132-2119

Practice Phone: 801-581-6228
Practice Fax: 801-585-6702

1881735298 — DR. ANNE MOORE PHD
Practice Location Address:

30 N 1900 E , 1R52 SOM
SALT LAKE CITY, UT
84132-2119

Practice Phone: 801-581-6228
Practice Fax: 801-585-6702

1245371699 — U-U ALCOHOL & DRUG CLINIC SCHOOL OF MEDICINE
Practice Location Address:

30 N 1900 E , 1R52 SOM
SALT LAKE CITY, UT
84132-2119

Practice Phone: 801-581-6228
Practice Fax: 801-585-6702

1972645000 — DR. D. CORYDON HAMMOND PH.D.
Practice Location Address:

UNIVERSITY MEDICAL CENTER PMR , 30 NO. 1900 EAST
SALT LAKE CITY, UT
84132-2119

Practice Phone: 801-581-5741
Practice Fax:

1023299591 — PM&R COUNSELING
Practice Location Address:

UNIVERSITY MEDICAL CENTER PMR , 30 NO. 1900 EAST
SALT LAKE CITY, UT
84132-2119

Practice Phone: 801-581-5741
Practice Fax: 801-585-5757

Directions to “ DR. ROBERT J COURTNEY JR. PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.