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Contact Information

MARY P RODGERS
4043 BAYMEADOWS RD
JACKSONVILLE, FL32217
 Phone: 904-472-1624
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY P RODGERS · (Female)

NPI # 1467642066
Status Active
Credentials
Entity Individual
Enumeration date 07/30/2007
Last updated 07/30/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PY6470
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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