Individual
GREGORY DEREK RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 NANCY ST, CHARLESTON, WV 25311-2005
(270) 792-4665
Mailing address
513 NANCY ST, CHARLESTON, WV 25311-2005
(270) 792-4665
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1184
WV
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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