Provider Demographics
NPI:1760441661
Name:ROGINA, JULIUS M (PHD)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:M
Last Name:ROGINA
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 1:427 RIDGE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-1717
Mailing Address - Country:US
Mailing Address - Phone:775-324-2000
Mailing Address - Fax:775-322-0167
Practice Address - Street 1:427 RIDGE ST
Practice Address - Street 2:SUITE A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-1717
Practice Address - Country:US
Practice Address - Phone:775-324-2000
Practice Address - Fax:775-322-0167
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY165103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical