Individual
RICHARD W RODGERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
EDD LP
Contact information
Practice address
5625 CENEX DR, MAIL STOP 33100A, INVER GROVES HEIGHTS, MN 55077-1735
(651) 552-2600
(651) 552-2674
Mailing address
8100 34TH AVE S, MC21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7172
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2265
MN
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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