Provider Demographics
NPI:1437476751
Name:ROGERS, ASIA JANA (MED)
Entity Type:Individual
Prefix:MRS
First Name:ASIA
Middle Name:JANA
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2412 SW 103RD TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7518
Mailing Address - Country:US
Mailing Address - Phone:405-703-1405
Mailing Address - Fax:
Practice Address - Street 1:1729 W 33RD ST STE B
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3836
Practice Address - Country:US
Practice Address - Phone:405-216-5608
Practice Address - Fax:405-216-5272
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health