| Rogers Psychological Services Pc | |
|
29600 Northwestern Hwy Ste 100a Southfield MI 48034-1016 | |
| (248) 613-4617 | |
| Not Available |
| Full Name | Rogers Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 29600 Northwestern Hwy Ste 100a, Southfield, Michigan |
| Authorized Official Name and Position | Robert Rogers (OWNER) |
| Authorized Official Contact | 2486134617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogers Psychological Services Pc 29600 Northwestern Hwy Ste 100a Southfield MI 48034-1016 Ph: (248) 613-4617 | Rogers Psychological Services Pc 29600 Northwestern Hwy Ste 100a Southfield MI 48034-1016 Ph: (248) 613-4617 |
| NPI Number | 1851814651 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4385901263 |
|---|---|
| Medicare Enrollment ID | O20171130002674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851814651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert J Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932381514 PECOS PAC ID: 2668695206 Enrollment ID: I20140528002298 |
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