Individual
DR. DANIEL THOMAS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
122 CHERRY ST NE, MARIETTA, GA 30060-7206
(770) 427-2911
Mailing address
1969 CLEARWATER DR SE, MARIETTA, GA 30067-7254
(770) 977-3247
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002981
GA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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