J'Dene Michelle Rogers
Psychologist, Clinical in Muskogee, OK. Organization (NPI-2).
NPI number1154471027
StatusActive
Last updated in NPPESJun 16, 2008
Details
- NPI
- 1154471027
- Entity type
- Organization (NPI-2)
- Legal business name
- J'Dene Michelle Rogers
- Organization subpart
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Jun 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 915 | OK | Yes |
Other names
- Integrity Pathways (Doing Business As)
Practice location
2024 W Broadway StMuskogee, OK 74401-2758
Phone 918-682-9292 · Fax 918-682-5492
Mailing address
2024 W Broadway StMuskogee, OK 74401-2758
Phone 918-682-9292 · Fax 918-682-5492
Authorized official
Jdene Michelle Rogers
Ownerceo
9186829292
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