Provider Demographics
NPI:1124242565
Name:VERBECK, RODERICK WAYNE (PSYD, MS, LMFT)
Entity type:Individual
Prefix:DR
First Name:RODERICK
Middle Name:WAYNE
Last Name:VERBECK
Suffix:
Gender:M
Credentials:PSYD, MS, LMFT
Other - Prefix:
Other - First Name:ROD
Other - Middle Name:WAYNE
Other - Last Name:VERBECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSY D, LMFT
Mailing Address - Street 1:2085 RUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-2498
Mailing Address - Country:US
Mailing Address - Phone:951-955-1551
Mailing Address - Fax:951-955-1554
Practice Address - Street 1:2085 RUSTIN AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2498
Practice Address - Country:US
Practice Address - Phone:951-955-1551
Practice Address - Fax:951-955-1554
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist