Individual
DR. MARY JILLIAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1050 CHINOE RD STE 106, LEXINGTON, KY 40502-6571
(859) 334-0884
Mailing address
1050 CHINOE RD STE 106, LEXINGTON, KY 40502-6571
(859) 334-0884
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
266149
KY
103TH0100X
Health Service Psychologist
244492
KY
103TH0100X
Health Service Psychologist
Primary
266149
KY
Other
Enumeration date
11/19/2019
Last updated
12/20/2022
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