Doctor Name: | DR. CAROLYN PENDER ROCHE |
NPI Number: | 1306176490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., NCSP |
License Number: | 3845 |
Business Practice Address: | 5318 Highgate Dr Suite 132 Durham, NC - 277136630 |
Business Phone Number: | 9192288845 |
Business Fax Number: | |
Mailing Address: | 5318 Highgate Dr, Suite 132 DURHAM |
State: | NC |
Postal Code: | 277136630 |
Phone Number: | 9192288845 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2010 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 3845 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |