Individual
MISS CASEY ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., NCSP
Contact information
Practice address
101 PLEASANTSIDE DR, WAYLAND, NY 14572-1221
(585) 406-5563
Mailing address
101 PLEASANTSIDE DR, WAYLAND, NY 14572-1221
(585) 406-5563
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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