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Individual

DR. ANGELA RENEE ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(270) 881-7999
Mailing address
6625 NW HICKORY CT, PARKVILLE, MO 64152-8724
(270) 881-7999

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1443
KY
103TC0700X
Clinical Psychologist
2016042036
MO

Other

Enumeration date
04/23/2008
Last updated
12/05/2023
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