Individual
DR. JUDITH PHILLIPS ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1728 MULBERRY ST, MONTGOMERY, AL 36106-1524
(334) 263-4844
(334) 264-8129
Mailing address
1728 MULBERRY ST, MONTGOMERY, AL 36106-1524
(334) 263-4844
(334) 264-8129
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
310
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-23126
BCBS VENDOR ID NUMBER
AL
Enumeration date
11/13/2006
Last updated
07/08/2007
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