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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DAVID EDMAND RODEBACK, PHD

Active

DR. DAVID EDMAND RODEBACK, PHD is a Clinical Social Worker healthcare provider located in SALT LAKE CITY, Utah. NPI 1679746846 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SALT LAKE CITY, UT

Registration Details

NPI Number
1679746846
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2008 (18.35171931579 yrs)
Last Updated
Mar 31, 2020
Licenses
138978 3501 (UT)
138978-3501 (UT)

Practice Information

Address
3838 S 700 E STE 100
SALT LAKE CITY, UT, 841061494
Browse UT providers · Browse ZIP 84106
Phone
8012690231
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in SALT LAKE CITY, UT

Name Credential NPI
RODERICK VERNE JOHNSON LCSW 1780672915
EDNA MERRY WILCOCK R.N., L.C.S.W. 1194714766
MS. MABEL ANN JENTZSCH L.C.S.W. 1326020512
MR. DAVID GARY ELDREDGE LCSW 1699758342
MR. CORY MELVIN SHIPP LCSW 1609850221
MRS. SANDRA KAY VARLEY LCSW 1083699565
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.