Individual
DR. DIANE M. ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
17302 GREEN RD, HARVARD, IL 60033-9625
(815) 572-1181
Mailing address
17302 GREEN RD, HARVARD, IL 60033-9625
(815) 572-1181
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007857
IL
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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