| Richard W Rodgers, Edd, Abpp | |
|
1595 Selby Ave Suite 210 Saint Paul MN 55104-6221 | |
| (651) 644-4611 | |
| (651) 644-4618 |
| Full Name | Richard W Rodgers, Edd, Abpp |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1595 Selby Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Richard W Rodgers (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6516444611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard W Rodgers, Edd, Abpp 1595 Selby Ave Suite 210 Saint Paul MN 55104-6221 Ph: (651) 644-4611 | Richard W Rodgers, Edd, Abpp 1595 Selby Ave Suite 210 Saint Paul MN 55104-6221 Ph: (651) 644-4611 |
| NPI Number | 1174785034 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174785034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP2265 (Minnesota) | Primary |
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