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Individual

DR. DAVID A ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
6100 JONESTOWN RD, HARRISBURG, PA 17112-2607
(717) 671-9688
(717) 541-8838
Mailing address
6100 JONESTOWN RD, HARRISBURG, PA 17112-2607
(717) 671-9688
(717) 541-8838

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS004366-L
PA
103T00000X
Psychologist
Primary
PS004366L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01118301
BLUECROSS PIN
PA
01
032689
BLUESHIELD PIN
PA
01
A130913
VALUEOPTIONS PIN
PA
Enumeration date
07/22/2005
Last updated
05/13/2020
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