Organization
ROCKAFELLOW PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DEAN ROCKAFELLOW PH.D., LP (PRESIDENT/OWNER)
(248) 656-0500
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
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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