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General NPI Number Information
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NPI Number | 1528423829
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Entity Type | Organization
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Legal Business Name | ROCKEY PSYCHOLOGICAL SERVICES INC.
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 06/03/2016
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Provider Practice Location Address
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Address Line | 596 IRONWOOD DR
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City | FRANKLIN
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State | IN
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Zip | 46131-7070
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Country | US
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Telephone | 317-474-1174
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Fax | 812-526-1211
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Provider Business Mailing Address
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Address Line | 600 IRONWOOD DR STE C
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City | FRANKLIN
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State | IN
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Zip | 46131-8324
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Country | US
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Telephone | 317-474-1174
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Fax | 317-868-8301
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Authorized Official
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Title or Position | PRESIDENT/PSYCHOLOGIST
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Name | DR. MARSHA LYNNE ROCKEY
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Credential | PSY.D.
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Telephone | 317-474-1174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 20042221A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 20042221A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20042221A
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License Number State | IN
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