| Doctor Name: | DAVID RODEN |
| NPI Number: | 1164589347 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 44SC05216500 |
| Business Practice Address: | 22 Minerva Ave Manasquan, NJ - 087363118 |
| Business Phone Number: | 7329463030 |
| Business Fax Number: | 7329464891 |
| Mailing Address: | 22 Minerva Ave, MANASQUAN |
| State: | NJ |
| Postal Code: | 087363118 |
| Phone Number: | 7329463030 |
| Fax Number: | 7329464891 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 44SC05216500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |