Individual
JENNIFER C ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
426 N MERIDIAN, PUYALLUP, WA 98371-8636
(559) 639-8859
(510) 667-3005
Mailing address
426 N MERIDIAN, PUYALLUP, WA 98371-8636
(559) 639-8859
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60609310
WA
Other
Enumeration date
08/09/2012
Last updated
01/29/2019
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