Provider Demographics
NPI:1952695629
Name:ROGERS, YOLANDA YVETTE (MA)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:YVETTE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5503 AXTON CT
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2043
Mailing Address - Country:US
Mailing Address - Phone:301-459-6394
Mailing Address - Fax:301-459-6394
Practice Address - Street 1:5503 AXTON CT
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2043
Practice Address - Country:US
Practice Address - Phone:301-459-6394
Practice Address - Fax:301-459-6394
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-30
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional