DR. DEBRA MARIE QUACKENBUSH (NPI# 1720066442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720066442 |
| Entity Type | Individual |
| Full Name | DR. DEBRA MARIE QUACKENBUSH |
| Other Name | DEBBIE QUACKENBUSH |
| Credential | PH.D. |
| Practice Address |
1399 S 700 E Salt Lake City UT 84105-2160 |
| Mailing Address |
2259 Wellington St Salt Lake City UT 84106-4118 |
| Practice Telephone | 8018321050 |
| Mailing Telephone | 8013222876 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2007-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
334840-2501 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DESERET MUTUAL | 740411 | 01 |
| UT | I H C | 1070011059101 | 01 |
| UT | EDUCATOR'S MUTUAL | 942938348QU1 | 01 |
| Street Address |
1399 S 700 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396133815 | Kellie Clement | Social Worker | 1399 S 700 E, Suite 1, Salt Lake City, UT 84105-2149 | 2015-01-06 |
| 1477837573 | Jason Durtschi | Social Worker | 1399 S 700 E, Salt Lake City, UT 84105-2149 | 2011-10-06 |
| 1376737676 | James M Struve Inc | Social Worker | 1399 S 700 E, Suite #2, Salt Lake City, UT 84105-2149 | 2007-08-29 |
| 1851583702 | Jeffrey Alan Bell | Social Worker | 1399 S 700 E, Suite 1, Salt Lake City, UT 84105-2149 | 2007-08-14 |
| 1013111996 | Charlotte J Ferrin | Psychologist | 1399 S 700 E, Suite 11, Salt Lake City, UT 84105-2149 | 2007-06-13 |
| 1043429749 | Kevin Del Lambert | Psychiatry & Neurology | 1399 S 700 E, Suite 5b, Salt Lake City, UT 84105-2149 | 2007-05-21 |
| 1851507057 | Pamela Swibel Plant | Psychologist | 1399 S 700 E, Suite 7, Salt Lake City, UT 84105-2149 | 2007-05-15 |
| 1235344763 | Kenneth L. Critchfield II | Psychologist | 1399 S 700 E, #9, Salt Lake City, UT 84105-2149 | 2007-05-10 |
| 1861613853 | Gary Joel Klein | Social Worker | 1399 S 700 E, Suite 11b, Salt Lake City, UT 84105-2149 | 2007-05-01 |
| 1689704785 | Abby Jean Gottsegen | Psychologist | 1399 S 700 E, Suite 7, Salt Lake City, UT 84105-2149 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
| 1083133938 | Dio Turner II | Psychologist | 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 | 2017-09-12 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1205202355 | Laura Rowley | Psychologist | 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 | 2015-08-12 |
| 1275916223 | Amy Bonifay Russell | Psychologist | 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 | 2015-07-08 |
| 1952710071 | The Pearce Institute of Child and Family Psychology, LLC | Psychologist | 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 | 2014-08-04 |
| 1053728105 | Margaret Ruth Moore | Psychologist | 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 | 2014-07-21 |
| 1316360225 | Amanda Lorraine Rapacz | Psychologist | 239 E Belmont Ave, Salt Lake City, UT 84111-4619 | 2014-01-28 |
| 1134566904 | Allison Marie Smith | Psychologist | 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 | 2013-06-03 |
| 1558611970 | New Life Balance, LLC | Psychologist | 2689 S Highland Dr, Salt Lake City, UT 84106-2774 | 2012-09-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
Please comment or provide details below to improve the information on DR. DEBRA MARIE QUACKENBUSH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.