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Contact Information

CHARLES W RODGERS PHD PC
607 EAST WASHINGTON
RIVERTON, WY82501
 Phone: 307-856-1333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLES W RODGERS PHD PC · (Female)

NPI # 1033298500
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2006
Last updated 10/07/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 58
  • WY Medicaid 119106301
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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