Organization
DONNA R B ROGERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA RB ROGERS PHD (LICENSED CLINICAL PSYCHOLOGIST)
(919) 802-0312
Entity
Organization
Contact information
Practice address
1140 HOLLY SPRINGS RD, SUITE 207, HOLLY SPRINGS, NC 27540-9634
(919) 802-0312
Mailing address
3317 PROSPECT PKWY, DURHAM, NC 27703-8359
(702) 374-3282
(919) 800-3060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4436
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002602088
—
NV
01
—
4436
NC STATE LICENSE
NC
Enumeration date
10/16/2009
Last updated
05/13/2023
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