Doctor Name: | ROBBIN ROCKETT |
NPI Number: | 1396151098 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PSY17943 |
Business Practice Address: | 100 Tamal Plz Ste 170 Corte Madera, CA - 949251163 |
Business Phone Number: | 4158888087 |
Business Fax Number: | |
Mailing Address: | 38 Miller Ave # 156, MILL VALLEY |
State: | CA |
Postal Code: | 949411927 |
Phone Number: | 4158888087 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2014 |
NPI Last Update Date: | 07/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | PSY17943 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |