Individual
DR. GARY L ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
34 OAK ST, EAST ELLIJAY, GA 30540-8151
(706) 636-5679
(706) 636-5680
Mailing address
34 OAK ST, EAST ELLIJAY, GA 30540-8151
(706) 636-5679
(706) 636-5680
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1824
GA
103TF0200X
Forensic Psychologist
Primary
1824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00626315E
—
GA
Enumeration date
11/17/2006
Last updated
09/11/2025
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