Healthcare Provider Details

I. General information

NPI: 1093711616
Provider Name (Legal Business Name): ROGER EICHMAN M.S., L.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 7TH ST NW STE 1
ROCHESTER MN
55901-2666
US

IV. Provider business mailing address

1027 7TH ST NW STE 1
ROCHESTER MN
55901-2666
US

V. Phone/Fax

Practice location:
  • Phone: 507-288-5675
  • Fax: 507-288-4240
Mailing address:
  • Phone: 507-288-5675
  • Fax: 507-288-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP0488
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP0488
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: