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General NPI Number Information
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NPI Number | 1356222103
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Entity Type | Organization
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Legal Business Name | ROCKBRIDGE THERAPY AND ASSESSMENT, LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 7 ESTILL ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2704
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Country | US
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Telephone | 540-733-7281
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Fax | 540-779-7962
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Provider Business Mailing Address
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Address Line | 7 ESTILL ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2704
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Country | US
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Telephone | 540-733-7281
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Fax | 540-779-7962
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. TIFFANY PEMPEK RAHL
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Credential | PSYD
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Telephone | 540-733-7281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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