Individual
ROGER M. KNUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
115 W WALNUT ST, OXFORD, OH 45056-1721
(513) 523-6698
Mailing address
631 MONROE ST, NEWPORT, KY 41071-2047
(859) 866-3962
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2712
OH
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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