Individual
DR. SUSAN GAIL ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9007
(501) 624-0252
Mailing address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9007
(501) 624-0252
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY-1449
KY
103T00000X
Psychologist
PSY 16716
CA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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