Provider Demographics
NPI:1972216216
Name:ROGERS, JULIA CAROL (MS)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:CAROL
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 ACKLEN PARK DR APT E7
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1156
Mailing Address - Country:US
Mailing Address - Phone:615-785-6603
Mailing Address - Fax:
Practice Address - Street 1:112 ACKLEN PARK DR APT E7
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1156
Practice Address - Country:US
Practice Address - Phone:615-785-6603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist