Individual
MRS. PATRICIA ANNE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2824 SYRACUSE CT, DENVER, CO 80238-2454
(703) 924-4148
(703) 922-0638
Mailing address
10588 CANTERBERRY RD, FAIRFAX STATION, VA 22039-1930
(703) 924-4148
(703) 922-5048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000563
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02628
DEPT OF HEALTH SPEECH
MD
01
—
220200536
BOARD OF AUDIOLOGY
VA
05
—
23751215
—
CO
Enumeration date
01/05/2006
Last updated
03/04/2021
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