Individual
DR. TRACEY L. ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
24 LINCOLN ST, NEWTON, MA 02461-1524
(617) 515-7750
Mailing address
23 HARRISON ST, NEWTON, MA 02461-1324
(617) 515-7750
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6374
MA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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