Provider Demographics
NPI:1851688998
Name:ROGERS, LAURA ANNE (BS)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANNE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6298 VETERANS PKWY STE 9B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-6281
Mailing Address - Country:US
Mailing Address - Phone:706-571-7771
Mailing Address - Fax:770-956-8907
Practice Address - Street 1:6298 VETERANS PKWY STE 9B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-6281
Practice Address - Country:US
Practice Address - Phone:706-571-7771
Practice Address - Fax:770-956-8907
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst