Organization
J'DENE MICHELLE ROGERS
Active
Other names
Integrity Pathways
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JDENE MICHELLE ROGERS PH.D (OWNERCEO)
(918) 682-9292
Entity
Organization
Contact information
Practice address
2024 W BROADWAY ST, MUSKOGEE, OK 74401-2758
(918) 682-9292
(918) 682-5492
Mailing address
2024 W BROADWAY ST, MUSKOGEE, OK 74401-2758
(918) 682-9292
(918) 682-5492
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
915
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100840290B
—
OK
Enumeration date
01/11/2007
Last updated
06/16/2008
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