Individual
DR. BARON KENLEY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
125 HIGH MEADOW CT, STATE COLLEGE, PA 16803-1889
(330) 814-1235
Mailing address
125 HIGH MEADOW CT, STATE COLLEGE, PA 16803-1889
(330) 814-1235
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS019938
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/31/2018
Last updated
07/19/2023
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