Provider Demographics
NPI:1942400437
Name:SCOTT-FRANKLIN, ROGINA LUCINDA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROGINA
Middle Name:LUCINDA
Last Name:SCOTT-FRANKLIN
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 1:6733 FAIRVIEW RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3652
Mailing Address - Country:US
Mailing Address - Phone:704-516-6783
Mailing Address - Fax:
Practice Address - Street 1:6733 FAIRVIEW RD STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3652
Practice Address - Country:US
Practice Address - Phone:704-516-6783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3210103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist