Carol Rogers-Tanner, MS LP

NPI #1194775841 in Maplewood, Minnesota

Provider Information

NPI Number: 1194775841
Entity Type: Individual
Name: Carol Rogers-Tanner, MS LP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: MS LP
Enumeration Date: May 11, 2006
Last Updated: Jun 24, 2015

Practice Location

Address: 2399 ARIEL ST N STE D
City: Maplewood
State: Minnesota
ZIP Code: 55109-2202
Phone: (651) 770-1311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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