Healthcare Provider Details

I. General information

NPI: 1497807655
Provider Name (Legal Business Name): MARSHA LYNNE ROCKEY PSYD, HSPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 03/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 IRONWOOD DR STE C
FRANKLIN IN
46131-8324
US

IV. Provider business mailing address

600 IRONWOOD DR STE C
FRANKLIN IN
46131-8324
US

V. Phone/Fax

Practice location:
  • Phone: 317-868-8300
  • Fax: 317-868-8302
Mailing address:
  • Phone: 317-868-8300
  • Fax: 317-868-8302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20042221A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number20042221A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: