Provider Demographics
NPI:1174707756
Name:ROGERS, CATHERINE HILLARY (PHD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:HILLARY
Last Name:ROGERS
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 1:280 INTERSTATE NORTH CIR SE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2450
Mailing Address - Country:US
Mailing Address - Phone:770-933-4130
Mailing Address - Fax:770-933-4135
Practice Address - Street 1:280 INTERSTATE NORTH CIR SE
Practice Address - Street 2:SUITE 450
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2450
Practice Address - Country:US
Practice Address - Phone:770-933-4130
Practice Address - Fax:770-993-4135
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003191103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist