| Charles W Rodgers Phd Pc | |
|
607 East Washington Riverton WY 82501 | |
| (307) 856-1333 | |
| Not Available |
| Full Name | Charles W Rodgers Phd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 607 East Washington, Riverton, Wyoming |
| Authorized Official Name and Position | Charles W Rodgers (PRESIDENT) |
| Authorized Official Contact | 3078561333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W Rodgers Phd Pc 822 North Pointe Circle Riverton WY 82501 Ph: (307) 856-1333 | Charles W Rodgers Phd Pc 607 East Washington Riverton WY 82501 Ph: (307) 856-1333 |
| NPI Number | 1033298500 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033298500 | NPI | - | NPPES |
| 119106301 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 58 (Wyoming) | Primary |
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