| Rodgers Psychological Services, Inc | |
|
333 Grand Ave Suite 215 Saint Paul MN 55102-2582 | |
| (651) 229-6962 | |
| (651) 227-8106 |
| Full Name | Rodgers Psychological Services, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 333 Grand Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Linda Rodgers (CHIEF FINANCIAL OFFICER, OWNER) |
| Authorized Official Contact | 6512296962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodgers Psychological Services, Inc 1772 James Ave Saint Paul MN 55105-2115 Ph: (651) 229-6962 | Rodgers Psychological Services, Inc 333 Grand Ave Suite 215 Saint Paul MN 55102-2582 Ph: (651) 229-6962 |
| NPI Number | 1598982258 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/02/2007 |
| Medicare PECOS PAC ID | 3678664430 |
|---|---|
| Medicare Enrollment ID | O20070808000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598982258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Richard W Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144292178 PECOS PAC ID: 9931290798 Enrollment ID: I20070808000333 |
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