| Doctor Name: | RAMONA ROGERS |
| NPI Number: | 1487041117 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYCHOLOGIST |
| License Number: | R5A137900310 |
| Business Practice Address: | 110 Mordington Ave Charles Town, WV - 254141693 |
| Business Phone Number: | 3042673595 |
| Business Fax Number: | 3042673599 |
| Mailing Address: | 110 Mordington Ave, CHARLES TOWN |
| State: | WV |
| Postal Code: | 254141693 |
| Phone Number: | 3042673595 |
| Fax Number: | 3042673599 |
| NPI Enumeration Date: | 04/21/2015 |
| NPI Last Update Date: | 04/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | R5A137900310 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |