Jennifer L. Rockett, Ph.d. | |
2402 Broadmoor Dr Building Dii Suite 111 Bryan TX 77802-2847 | |
(979) 450-5320 | |
(979) 713-1245 |
Full Name | Jennifer L. Rockett, Ph.d. |
---|---|
Speciality | Psychologist |
Location | 2402 Broadmoor Dr, Bryan, Texas |
Authorized Official Name and Position | Jennifer Lynn Rockett (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 9794505320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jennifer L. Rockett, Ph.d. Po Box 9276 College Station TX 77842-9276 Ph: (979) 450-5320 | Jennifer L. Rockett, Ph.d. 2402 Broadmoor Dr Building Dii Suite 111 Bryan TX 77802-2847 Ph: (979) 450-5320 |
NPI Number | 1053665281 |
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Provider Enumeration Date | 11/09/2012 |
Last Update Date | 11/09/2012 |
Medicare PECOS PAC ID | 8022254002 |
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Medicare Enrollment ID | O20130417000496 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053665281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 36024 (Texas) | Primary |
103TF0200X | Psychologist - Forensic | 36024 (Texas) | Secondary |
Provider Name | Jennifer Lynn Rockett |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184968042 PECOS PAC ID: 9931345915 Enrollment ID: I20130417000536 |
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