Provider Demographics
NPI:1437505740
Name:ROGERS, KATE ELIZABETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:ELIZABETH
Last Name:ROGERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:ELIZABETH
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:386 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84014-1819
Mailing Address - Country:US
Mailing Address - Phone:801-298-2000
Mailing Address - Fax:801-951-1490
Practice Address - Street 1:386 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-1819
Practice Address - Country:US
Practice Address - Phone:801-298-2000
Practice Address - Fax:801-951-1490
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9526200-2501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist