Individual
KEYONI ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 E GLENSIDE AVE # 1027, GLENSIDE, PA 19038-4534
(267) 730-4980
Mailing address
140 E GLENSIDE AVE # 1027, GLENSIDE, PA 19038-4534
(267) 730-4980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
Primary
PS020318
PA
Other
Enumeration date
08/20/2018
Last updated
04/07/2026
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