| Organization Name: | JENNIFER L. ROCKETT, PH.D. |
| NPI Number: | 1053665281 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER LYNN ROCKETT (PSYCHOLOGIST/OWNER) |
| Mailing Address: | 2402 Broadmoor Dr Building Dii Suite 111 Bryan |
| State: | TX US |
| Postal Code: | 778022847 |
| Phone Number: | 9794505320 |
| Fax Number: | 9797131245 |
| NPI Enumeration Date: | 11/09/2012 |
| NPI Last Update Date: | 11/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 36024 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |