Individual
MRS. BERNADETTE REBECCA ROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1710 CEDARHURST, BENTON, AR 72015
(501) 909-9036
Mailing address
1710 CEDARHURST, BENTON, AR 72015
(501) 909-9036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9424EI
AR
103T00000X
Psychologist
T1873
AR
103TS0200X
School Psychologist
29696
AR
Other
Enumeration date
09/23/2009
Last updated
03/14/2013
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