Individual
THOMAS L ROCHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
501 EASY ST, GODDARD, KS 67052-9211
(316) 794-8635
Mailing address
6120 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 269-5000
(316) 269-0404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP-819
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004606
BCBS
KS
05
—
100241290B
—
KS
Enumeration date
06/25/2006
Last updated
09/15/2009
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