Provider Demographics
NPI:1265672398
Name:DAUT, RODNEY M (MA)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:M
Last Name:DAUT
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 SKIVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-4041
Mailing Address - Country:US
Mailing Address - Phone:509-884-2909
Mailing Address - Fax:509-662-3919
Practice Address - Street 1:434 ORONDO AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2828
Practice Address - Country:US
Practice Address - Phone:509-884-2909
Practice Address - Fax:509-662-3919
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003831101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health