| Doctor Name: | DONALD W ROGERS |
| NPI Number: | 1184779761 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 15 |
| Business Practice Address: | 203 North Main St Stanton, KY - 40380 |
| Business Phone Number: | 8592531686 |
| Business Fax Number: | 8592542743 |
| Mailing Address: | 1351 Newtown Pike, LEXINGTON |
| State: | KY |
| Postal Code: | 405111217 |
| Phone Number: | 8592531686 |
| Fax Number: | 8592542743 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 15 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |