Provider Demographics
NPI:1114074549
Name:RODGERS, HOWARD LEON (PHD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:LEON
Last Name:RODGERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35056-0161
Mailing Address - Country:US
Mailing Address - Phone:256-737-3087
Mailing Address - Fax:
Practice Address - Street 1:126 COUNTY ROAD 1153
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35057-0863
Practice Address - Country:US
Practice Address - Phone:256-737-3087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1482101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional