# DR. ROGER A. LAIRD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215034830
- **Gender:** Man
- **Credential:** EDD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0487 | KY | Yes |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 07/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000261031 | BCBS PROVIDER NUMBER | — |
| 01 | — | 000000787401 | BCBS BAPTIST HEALTH | KY |
| 01 | — | 0487 | LICENSE | KY |
| 05 | — | 89000202 | — | KY |