Individual
PERSEPHONE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, LSSP, NCSP
Contact information
Practice address
2803 RIVERSIDE PKWY APT 5203, GRAND PRAIRIE, TX 75050-8748
(713) 208-1379
Mailing address
2803 RIVERSIDE PKWY APT 5203, GRAND PRAIRIE, TX 75050-8748
(713) 208-1379
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
72874
TX
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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