Individual
KENNETH C. RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8160 HIGHLAND DR, # 102, SANDY, UT 84093-6492
(801) 943-3319
(801) 733-7004
Mailing address
8160 HIGHLAND DR, # 102, SANDY, UT 84093-6492
(801) 943-3319
(801) 733-7004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1114662501
UT
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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