| Donna R B Rogers Pllc | |
|
1140 Holly Springs Rd Suite 207 Holly Springs NC 27540-9634 | |
| (919) 802-0312 | |
| Not Available |
| Full Name | Donna R B Rogers Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1140 Holly Springs Rd, Holly Springs, North Carolina |
| Authorized Official Name and Position | Donna Rb Rogers (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9198020312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna R B Rogers Pllc 3317 Prospect Pkwy Durham NC 27703-8359 Ph: (702) 374-3282 | Donna R B Rogers Pllc 1140 Holly Springs Rd Suite 207 Holly Springs NC 27540-9634 Ph: (919) 802-0312 |
| NPI Number | 1811222342 |
|---|---|
| Provider Enumeration Date | 10/16/2009 |
| Last Update Date | 05/13/2023 |
| Certification Date | 05/13/2023 |
| Medicare PECOS PAC ID | 2961531520 |
|---|---|
| Medicare Enrollment ID | O20130715000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811222342 | NPI | - | NPPES |
| 002602088 | Medicaid | NV | |
| 4436 | Other | NC | NC STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4436 (North Carolina) | Primary |
| Provider Name | Donna R B Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477538288 PECOS PAC ID: 1557386240 Enrollment ID: I20130715000406 |
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