Provider Demographics
NPI:1790846905
Name:ROGERS, DEBORAH PARKER (LMFT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:PARKER
Last Name:ROGERS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CROW CANYON CT
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1971
Mailing Address - Country:US
Mailing Address - Phone:925-831-2442
Mailing Address - Fax:
Practice Address - Street 1:8 CROW CANYON CT
Practice Address - Street 2:SUITE 110
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1971
Practice Address - Country:US
Practice Address - Phone:925-831-2442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 37811106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist