Individual
MARTHA J ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
416 XENIA AVE, YELLOW SPRINGS, OH 45387-1836
(937) 767-9171
(937) 767-9175
Mailing address
416 XENIA AVE, YELLOW SPRINGS, OH 45387-1836
(937) 767-9171
(937) 767-9175
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6404
OH
Other
Enumeration date
12/13/2007
Last updated
03/22/2010
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