Organization
ROCKAFELLOW PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DEAN ROCKAFELLOW PH.D (PRESIDENT)
(248) 212-3153
Entity
Organization
Contact information
Practice address
1000 W UNIVERSITY DR, SUITE 202, ROCHESTER, MI 48307-1873
(248) 656-0500
(248) 656-0501
Mailing address
1000 W UNIVERSITY DR, SUITE 202, ROCHESTER, MI 48307-1873
(248) 656-0500
(248) 656-0501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012927
MI
Other
Enumeration date
10/17/2011
Last updated
02/01/2012
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