Individual
DR. CARYN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 E 210TH ST, KLAU, BRONX, NY 10467-2401
(646) 546-9389
Mailing address
1300 MORRIS PARK AVE, VE BLDG #5, RM 6B19, BRONX, NY 10461-1900
(718) 862-7172
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017964
NY
Other
Enumeration date
09/08/2009
Last updated
07/12/2011
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