Individual
JERRY J BERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1496 E 5600 S STE 3, SOUTH OGDEN, UT 84403-4821
(801) 690-7455
Mailing address
1496 E 5600 S STE 3, SOUTH OGDEN, UT 84403-4821
(801) 690-7455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10757993-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134689037
—
UT
Enumeration date
03/25/2019
Last updated
11/10/2025
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