Doctor Name: | PAUL ROCK |
NPI Number: | 1891149720 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 15-05-19 |
Business Practice Address: | 1003 E Main St Medford, OR - 975047448 |
Business Phone Number: | 5417791282 |
Business Fax Number: | 5417792081 |
Mailing Address: | 1003 E. Main St, MEDFORD |
State: | OR |
Postal Code: | 87504 |
Phone Number: | 5417791282 |
Fax Number: | 5417792081 |
NPI Enumeration Date: | 04/18/2016 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 15-05-19 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |