Provider Demographics
NPI:1811264484
Name:ROGERSON, LINDSEY RENEE (LPC)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:RENEE
Last Name:ROGERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 606
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-0606
Mailing Address - Country:US
Mailing Address - Phone:412-889-2142
Mailing Address - Fax:412-875-6450
Practice Address - Street 1:102 BROADWAY ST STE 103
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2447
Practice Address - Country:US
Practice Address - Phone:412-889-2142
Practice Address - Fax:412-875-6450
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-25
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006122101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional