Elliot Rogers

NPI #1699130278 in Salem, Massachusetts

Provider Information

NPI Number: 1699130278
Entity Type: Individual
Name: Elliot Rogers
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Enumeration Date: Dec 23, 2015
Last Updated: Dec 23, 2015

Practice Location

Address: 110 BOSTON ST
City: Salem
State: Massachusetts
ZIP Code: 01970-1402
Phone: (860) 416-4076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X	Primary
Social Worker	104100000X

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