Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 20042221A | IN |
N | 103TC0700X | Clinical Psychologist | 20042221A | IN |
Y | 103TH0100X | Health Service | 20042221A | IN |
NPI | 1497807655 |
---|---|
Provider Name | Marsha Lynne Rockey |
First Address | Franklin, IN 46131-8324 |
Second Address | Franklin, IN 46131-8324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 03/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201338810 | (05) | IN |
761086600 | (05) | FL |