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Individual

DR. DENNIS JOHN ROG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
2128 MAIN RD, TIVERTON, RI 02878
(401) 624-9972
(401) 624-1452
Mailing address
2128 MAIN RD, TIVERTON, RI 02878
(401) 624-9972
(401) 624-1452

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2093
MA
103T00000X
Psychologist
Primary
383
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32820
COUNCIL FOR THE NATIONAL
Enumeration date
12/04/2006
Last updated
07/08/2007
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