Individual
CLAYTON W ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Mailing address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
416
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100840930A
—
OK
Enumeration date
09/25/2006
Last updated
09/27/2012
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