Individual
CARMEN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
592 KY 15 SOUTH SUITE 5, CAMPTON, KY 41301
(606) 668-7393
Mailing address
780 FLAT BOTTOM RD, OWINGSVILLE, KY 40360-8096
(859) 576-5308
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
138798
KY
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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