Doctor Name: | DR. JAMES JOSEPH ROKOP |
NPI Number: | 1992872337 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 48022412501 |
Business Practice Address: | 592 W 1350 S Woods Cross, UT - 840108180 |
Business Phone Number: | 8012995344 |
Business Fax Number: | 8012962163 |
Mailing Address: | 711 6th Ave, SALT LAKE CITY |
State: | UT |
Postal Code: | 841033525 |
Phone Number: | 8012093171 |
Fax Number: | 8012962163 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 48022412501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |