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Individual

DANIEL G ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1130 TEN ROD RD STE E305, NORTH KINGSTOWN, RI 02852-4176
(012) 940-4514
(401) 294-0461
Mailing address
1130 TEN ROD RD STE E305, N KINGSTOWN, RI 02852-4176
(401) 294-0451

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS02097
RI
103TC0700X
Clinical Psychologist
Primary
PS0209
RI

Other

Enumeration date
09/01/2022
Last updated
11/08/2022
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