| Doctor Name: | DR. DAN L. ROGERS |
| NPI Number: | 1053310508 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 535 |
| Business Practice Address: | 809 Central Ave Ste. 450 Fort Dodge, IA - 505013936 |
| Business Phone Number: | 5159558172 |
| Business Fax Number: | 5155765864 |
| Mailing Address: | 809 Central Ave., Ste. 450 FORT DODGE |
| State: | IA |
| Postal Code: | 505013916 |
| Phone Number: | 5159558172 |
| Fax Number: | 5155735864 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 535 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |