Individual
JOEL J ROGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
84 COUNTY RD, IPSWICH, MA 01938-2356
(978) 356-7040
(978) 356-3678
Mailing address
84 COUNTY RD, IPSWICH, MA 01938-2356
(978) 356-7040
(978) 356-3678
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1878
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W02030
BLUE CROSS
MA
Enumeration date
01/22/2007
Last updated
07/08/2007
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