Individual
DR. ROGER DALE PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1230 N DUQUESNE RD, JOPLIN, MO 64801-1509
(417) 782-1443
(417) 782-3240
Mailing address
1230 N DUQUESNE RD, JOPLIN, MO 64801-1509
(417) 782-1443
(417) 782-3240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
116659
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203871215
—
MO
Enumeration date
07/18/2005
Last updated
04/22/2014
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