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Kimberly J. Rogers, Psy.D, LLC

Details

Name: Kimberly J. Rogers, Psy.D, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 13 Sep 2012 (12 years ago) (Companies founded in September 2012)
Entity Number: 000-267-330
Register Number: 000267330
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 200 PARKWEST CIRCLE SUITE 2DOTHAN, AL 36303

Activities PRACTICE OF PSYCHOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265783351 2012-09-28 2012-09-28 1369 W MAIN ST, DOTHAN, AL, 363011309, US 1369 W MAIN ST, DOTHAN, AL, 363011309, US

Contacts

Phone +1 334-699-3320
Fax 3346993342

Authorized person

Name DR. KIM JONES ROGERS
Role NEUROPSYCHOLOGIST
Phone 3346993320

Taxonomy

Taxonomy Code 103G00000X - Clinical Neuropsychologist
License Number 1587
State AL
Is Primary Yes

Agent

Name Role Address
ARMSTRONG, BENJAMIN S Agent 200 GROVE PARK LN STE 670DOTHAN, AL 36305

Organizer

Name Role Address
ROGERS, KIMBERLY J Organizer 200 PARKWEST CIRCLE SUITE 2DOTHAN, AL 36303

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State