Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | LPO439 | MN |
NPI | 1083738603 |
---|---|
Provider Name | Dr. Geraldine Mary Rockett |
First Address | Saint Paul, MN 55104-5949 |
Second Address | Saint Paul, MN 55104-5938 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 23/05/2019 |