| Doctor Name: | JOHN M OGDEN |
| NPI Number: | 1043625783 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 57247683501 |
| Business Practice Address: | 5500 W Bagley Park Rd West Jordan, UT - 840815697 |
| Business Phone Number: | 8012821000 |
| Business Fax Number: | 8012821198 |
| Mailing Address: | 5500 W Bagley Park Rd, WEST JORDAN |
| State: | UT |
| Postal Code: | 840815697 |
| Phone Number: | 8012821000 |
| Fax Number: | 8012821198 |
| NPI Enumeration Date: | 06/20/2014 |
| NPI Last Update Date: | 06/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 57247683501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |