Individual
EDWARD ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
209 OLD HEWITT RD STE 3, WACO, TX 76712-6599
(845) 416-4057
Mailing address
8306 WOODCREEK DR, WOODWAY, TX 76712-3511
(845) 416-4057
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37212
TX
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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