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Contact Information

TIM R ROGERS, PhD
700 MOUNT HOPE AVE
SUITE 680 EVERGREEN WOODS
BANGOR, ME04401-5691
 Phone: 207-942-9305
 Fax: 207-990-3954
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TIM R ROGERS · (Male)

NPI # 1326358250
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/13/2010
Last updated 10/13/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # PS608
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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