Organization
FAMILY PSYCHIATRIC CENTER LLC
Active
Organization
FAMILY PSYCHIATRIC CENTER LLC
Active
Other names
Donald Roegner MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L ROEGNER JR. M.D (M.D. DBA)
(765) 453-7422
Entity
Organization
Contact information
Practice address
702 W ALTO RD, KOKOMO, IN 46902-4907
(765) 453-7422
(765) 453-3773
Mailing address
PO BOX 6459, KOKOMO, IN 46904-6459
(765) 453-7422
(765) 453-3773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IN
103TC0700X
Clinical Psychologist
20010245
IN
1041C0700X
Clinical Social Worker
—
IN
2084P0800X
Psychiatry Physician
Primary
01023409
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28095903A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100154150A
—
IN
Enumeration date
11/15/2006
Last updated
04/17/2013
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