Individual
JANEL A. ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1720 BEACON ST, FORT WAYNE, IN 46805-4749
(260) 373-8000
(260) 373-8034
Mailing address
1720 BEACON ST, FORT WAYNE, IN 46805-4749
(260) 373-8000
(260) 373-8034
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040322A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203700
ANTHEM
IN
01
—
000000543925
ANTHEM
IN
05
—
100384920
—
IN
01
—
1771
PHYSICIANS HEALTH PLAN
IN
01
—
P00293052
RAILROAD MEDICARE
IN
01
—
P00478525
RAILROAD MEDICARE
IN
Enumeration date
01/11/2006
Last updated
07/28/2008
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