| Kelly Forbes Rogers, PHD | |
|
29 Chesterfield Rd, East Lyme, CT 06333-0094 | |
| (860) 739-6974 | |
| (860) 739-5290 |
| Full Name | Kelly Forbes Rogers |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 29 Chesterfield Rd, East Lyme, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780809640 | NPI | - | NPPES |
| 060001911CT03 | Other | ANTHEM | |
| 004138691 | Medicaid | CT | |
| P1033995 | Other | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 001911 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Forbes Rogers, PHD Po Box 94, 29 Chesterfield Rd, East Lyme, CT 06333-0094 Ph: (860) 739-6974 | Kelly Forbes Rogers, PHD 29 Chesterfield Rd, East Lyme, CT 06333-0094 Ph: (860) 739-6974 |
Mr. Donald W Mcintyre, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29 Chesterfield Rd, East Lyme, CT 06333 Phone: 860-739-6974 Fax: 860-739-5290 | |
Dr. Nancy A Randall, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 29 Chesterfield Rd, East Lyme, CT 06333 Phone: 860-739-6974 Fax: 860-739-5290 |