Individual
DR. THOMAS MICHAEL ROGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3601 GREEN RD, SUITE 314, BEACHWOOD, OH 44122-5725
(510) 915-3252
(216) 223-6423
Mailing address
3601 GREEN RD, SUITE 314, BEACHWOOD, OH 44122-5725
(510) 915-3252
(216) 223-6423
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6865
OH
103TC0700X
Clinical Psychologist
PSY 23025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164396
—
OR
Enumeration date
09/06/2007
Last updated
02/27/2012
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