Individual provider · Type 1 NPI

Debra Marie Quackenbush, PhD

Clinical Psychologist · Salt Lake City, UT

NPI number 1720066442 Active

Practice location

1399 S 700 E
Salt Lake City, UT 84105-2160

Call (801) 832-1050 Map

Mailing address

2259 Wellington St
Salt Lake City, UT 84106-4118

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	334840-2501 (UT)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1720066442

Debra Marie Quackenbush, PhD's National Provider Identifier is 1720066442, issued on Jan 3, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 17, 2007.