Individual
DR. ALEXIS DANIELLE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1405 E BURNETT AVE, LOUISVILLE, KY 40217-1577
(502) 588-0736
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
245451
KY
Other
Enumeration date
11/16/2018
Last updated
10/27/2020
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