Individual
DR. KAROLYNE SMITH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1802 N 15TH ST, COEUR D ALENE, ID 83814
(208) 765-9393
(208) 765-9393
Mailing address
1802 N 15TH ST, COEUR D ALENE, ID 83814
(208) 765-9393
(208) 765-9393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SW130
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010016005
REGENCE BLUE SHIELD OF ID
—
01
—
X0318
BLUE CROSS OF IDAHO
—
Enumeration date
09/16/2006
Last updated
07/08/2007
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