J'Dene Michelle Rogers in Muskogee - Clinical
J'Dene Michelle Rogers - NPI 1154471027
J'Dene Michelle Rogers is a Clinical in Muskogee, Oklahoma. J'Dene Michelle Rogers practices all healthcare services and medical treatments related to Clinical. The NPI Number for J'Dene Michelle Rogers is 1154471027. The last update date is 2008-06-16.
J'Dene Michelle Rogers's current location address is 2024 W Broadway St, Muskogee, Oklahoma. You can contact this provider via phone number 9186829292 and fax number 9186825492. The mailing address for J'Dene Michelle Rogers is 2024 W Broadway St, Muskogee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | J'Dene Michelle Rogers |
|---|---|
| Address | 2024 W Broadway St, Muskogee, Oklahoma |
| Phone Number | 9186829292 |
| Fax Number | 9186825492 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNERCEO |
|---|---|
| Authorized Official Name | Rogers Michelle Jdene |
| Credentials | PH.D |
| Telephone Number | 9186829292 |
NPI Number Detail
| NPI Number | 1154471027 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 2024 W Broadway St |
|---|---|
| City | Muskogee |
| State | Oklahoma (OK) |
| Post Code | 744012758 |
| Phone Number | 9186829292 |
| Fax Number | 9186825492 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 915 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100840290B | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to J'Dene Michelle Rogers by the Centers for Medicare & Medicaid Services?
The J'Dene Michelle Rogers has been issued the NPI (National Provider Identifier) 1154471027, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of J'Dene Michelle Rogers?
The J'Dene Michelle Rogers is situated at 2024 W Broadway St, in the city of Muskogee, state of OK, with the zip code 744012758.
What is J'Dene Michelle Rogers's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for J'Dene Michelle Rogers is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did J'Dene Michelle Rogers receive its 1154471027 assignment from the Centers for Medicare & Medicaid Services?
The J'Dene Michelle Rogers was assigned its 1154471027 on 2007-01-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to J'Dene Michelle Rogers most recently updated or revised?
The information pertaining to J'Dene Michelle Rogers, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-16.