Organization
KENNETH C. RODGERS, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH C. RODGERS PH.D. (CLINICAL PSYCHOLOGIST)
(801) 943-3319
Entity
Organization
Contact information
Practice address
8160 HIGHLAND DR, # 102, SANDY, UT 84093-6492
(801) 943-3319
Mailing address
8160 HIGHLAND DR, # 102, SANDY, UT 84093-6492
(801) 943-3319
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1114662501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529563429016
—
UT
Enumeration date
07/23/2006
Last updated
10/22/2007
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