Provider Demographics
NPI:1598001554
Name:ROGERS, VALERIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-5124
Mailing Address - Country:US
Mailing Address - Phone:831-454-8530
Mailing Address - Fax:831-480-1850
Practice Address - Street 1:749 37TH AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-5124
Practice Address - Country:US
Practice Address - Phone:831-454-8530
Practice Address - Fax:831-480-1850
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst