| Doctor Name: | DR. ROCKY CHRISTOPHER LIESMAN |
| NPI Number: | 1396079570 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D |
| License Number: | PENDING |
| Business Practice Address: | 1090 Arnold Dr Little Rock Afb, AR - 720994933 |
| Business Phone Number: | 5019876249 |
| Business Fax Number: | |
| Mailing Address: | 54 Ryleigh Cir, CABOT |
| State: | AR |
| Postal Code: | 720238072 |
| Phone Number: | 3149545405 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2009 |
| NPI Last Update Date: | 09/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |