Kimberly J. Rogers, Psy.d, Llc | |
1369 W Main St Dothan AL 36301-1309 | |
(334) 699-3320 | |
(334) 699-3342 |
Full Name | Kimberly J. Rogers, Psy.d, Llc |
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Speciality | Clinical Neuropsychologist |
Location | 1369 W Main St, Dothan, Alabama |
Authorized Official Name and Position | Kim Jones Rogers (NEUROPSYCHOLOGIST) |
Authorized Official Contact | 3346993320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kimberly J. Rogers, Psy.d, Llc 1369 W Main St Dothan AL 36301-1309 Ph: (334) 699-3320 | Kimberly J. Rogers, Psy.d, Llc 1369 W Main St Dothan AL 36301-1309 Ph: (334) 699-3320 |
NPI Number | 1265783351 |
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Provider Enumeration Date | 09/28/2012 |
Last Update Date | 09/28/2012 |
Medicare PECOS PAC ID | 9234389214 |
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Medicare Enrollment ID | O20121029000513 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265783351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 1587 (Alabama) | Primary |
Provider Name | Kimberly J Rogers |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356671408 PECOS PAC ID: 6305980046 Enrollment ID: I20100219000146 |
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