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NPI Code Detail

MEDICARE: MS. AMY ELIZABETH ROGERS M.S. LMFT

MEDICARE: MS. AMY ELIZABETH ROGERS M.S. LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT# 095WY

General Provider Information

NPI Number : 1225036338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY ELIZABETH ROGERS M.S. LMFT
Provider Business Mailing Address
First Line : 2526 SEYMOUR AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3159
Country : US
Telephone Number : 307-634-9653
Fax Number :
Provider Business Practice Location Address
First Line : 2526 SEYMOUR AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3159
Country : US
Telephone Number : 307-634-9653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 09/13/2016

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