Individual
BROOKE GENKIN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
(617) 414-5520
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS01934
RI
103TB0200X
Cognitive & Behavioral Psychologist
PS01934
RI
103TC0700X
Clinical Psychologist
PS01934
RI
103TC0700X
Clinical Psychologist
Primary
PSY10000117
MA
103TH0004X
Health Psychologist
PS01934
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110202793A
—
MA
Enumeration date
09/09/2021
Last updated
12/18/2023
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