Individual
MRS. PATRICIA K. RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(505) 627-2569
(505) 627-2544
Mailing address
901 BEL AIRE DR, ROSWELL, NM 88201-7774
(505) 622-0912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2700
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G0755
—
NM
Enumeration date
01/17/2007
Last updated
07/09/2007
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