Individual
DR. BRENDA KAY ROCHE
Active
Individual
DR. BRENDA KAY ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
357
MT
103G00000X
Clinical Neuropsychologist
420
WY
103G00000X
Clinical Neuropsychologist
7182
MN
103T00000X
Psychologist
357
MT
103T00000X
Psychologist
420
WY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
357
MT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
420
WY
103TC0700X
Clinical Psychologist
357
MT
103TC0700X
Clinical Psychologist
420
WY
103TC2200X
Clinical Child & Adolescent Psychologist
357
MT
103TC2200X
Clinical Child & Adolescent Psychologist
420
WY
103TF0000X
Family Psychologist
357
MT
103TF0000X
Family Psychologist
420
WY
103TP2701X
Group Psychotherapy Psychologist
357
MT
103TP2701X
Group Psychotherapy Psychologist
420
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492405
—
MT
01
—
1206672 00
WYOMING EQUALITY CARE
WY
01
—
180461042494
PREFERRED ONE
MT
01
—
52431
BLUE CROSS BLUE SHIELD
MT
Enumeration date
01/13/2007
Last updated
04/18/2025
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