Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 3325 | OH |
Y | 103T00000X | Psychologist | 3325 | OH |
NPI | 1013947613 |
---|---|
Provider Name | Dr. Joseph W. Rock |
First Address | Rocky River, OH 44116-3572 |
Second Address | Rocky River, OH 44116-3572 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 21/10/2012 |