| Kimberly J. Rogers, Psy.d, Llc | |
|
1369 W Main St Dothan AL 36301-1309 | |
| (334) 699-3320 | |
| (334) 699-3342 |
| Full Name | Kimberly J. Rogers, Psy.d, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1369 W Main St, Dothan, Alabama |
| Authorized Official Name and Position | Kim Jones Rogers (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 3346993320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly J. Rogers, Psy.d, Llc 1369 W Main St Dothan AL 36301-1309 Ph: (334) 699-3320 | Kimberly J. Rogers, Psy.d, Llc 1369 W Main St Dothan AL 36301-1309 Ph: (334) 699-3320 |
| NPI Number | 1265783351 |
|---|---|
| Provider Enumeration Date | 09/28/2012 |
| Last Update Date | 09/28/2012 |
| Medicare PECOS PAC ID | 9234389214 |
|---|---|
| Medicare Enrollment ID | O20121029000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265783351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1587 (Alabama) | Primary |
| Provider Name | Kimberly J Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356671408 PECOS PAC ID: 6305980046 Enrollment ID: I20100219000146 |
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