Healthcare Provider Details

I. General information

NPI: 1811801400
Provider Name (Legal Business Name): VICTORIA T ROGERS ED.S, ED.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 E 260TH ST
EUCLID OH
44132-1462
US

IV. Provider business mailing address

500 SYCAMORE LN APT 108
AURORA OH
44202-7650
US

V. Phone/Fax

Practice location:
  • Phone: 216-797-6505
  • Fax:
Mailing address:
  • Phone: 216-255-0664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.01546
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: