Individual
DR. JEFFERSON OWEN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
400 VETERANS AVE, (116B), BILOXI, MS 39531-2410
(228) 523-5238
(228) 523-4754
Mailing address
516 JACKSON AVE, OCEAN SPRINGS, MS 39564-4620
(228) 875-6585
(228) 523-4754
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35 589
MS
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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