Individual
NYLA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03393
BEHAVIORAL SCIENCES REGULATORY BOARD
KS
01
—
2024009400
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
Enumeration date
02/28/2022
Last updated
10/22/2024
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