Individual
PAULINE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 MADISON RD, CINCINNATI, OH 45206-1707
(513) 794-3300
Mailing address
1520 MADISON RD, CINCINNATI, OH 45206-1707
(513) 221-3350
(513) 475-5673
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/29/2019
Last updated
05/29/2024
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