Healthcare Provider Details

I. General information

NPI: 1760671606
Provider Name (Legal Business Name): EMILY ROUGIER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14TH MEDICAL GROUP, COLUMBUS MILITARY MEDICAL GROUP 201 INDEPENDENCE DRIVE, BLDG 1100,
COLUMBUS AFB MS
39710-5300
US

IV. Provider business mailing address

14TH MEDICAL GROUP, COLUMBUS MILITARY MEDICAL GROUP 201 INDEPENDENCE DRIVE, BLDG 1100
COLUMBUS AFB MS
39710-5300
US

V. Phone/Fax

Practice location:
  • Phone: 662-434-2239
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6840
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: