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Kenneth Charles Rogers, EDD
Health Service Psychologist in Dorchester, Massachusetts
NPI 1922596998

Kenneth Charles Rogers is a Health Service Psychologist based in Milton, MA and is specialized in Health Service. Kenneth Charles Rogers practices in Dorchester, MA and has the professional credentials of EDD. The NPI Number for Kenneth Charles Rogers is 1922596998 and holds a License No. 2818 (Massachusetts).

The current practice location address for Kenneth Charles Rogers is 425 Harvard St, Dorchester, MA and can be reached out via phone at 617-740-0109 and via fax at 617-740-0110.

Location: 425 Harvard St, Dorchester, MA, 02186-1015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922596998
Provider Name
Kenneth Charles Rogers
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
425 Harvard St, Dorchester, MA, 02186-1015
Phone Number
617-740-0109
Fax Number
617-740-0110
Provider Enumeration Date
04/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
425 Harvard St
City
Dorchester
State
Massachusetts
Zip
02124-2737
Phone Number
617-740-0109
Fax Number
617-740-0110
person
Provider Business Mailing Address Details
Address
425 Harvard St
City
Dorchester
State
Massachusetts
Zip
02124-2737
Phone Number
617-740-0109
Fax Number
617-740-0110
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
2818 (Massachusetts)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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