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DR. BRENDA KAY ROCHE PH.D.

Clinical Neuropsychologist

Billings, Montana

Provider NPI: 1477604882

Provider Information:
DR. BRENDA KAY ROCHE PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
1523 WYOMING AVE  BILLINGS, MT 59102 US
Tel: 406-272-4990  Fax: --

Business Mailing Address:
PO BOX 21359  BILLINGS, MT 59104 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
WY420
N103T00000XBehavioral Health & Social Service Providers
Psychologist
MT357
N103T00000XBehavioral Health & Social Service Providers
Psychologist
WY420
N103TA0400XBehavioral Health & Social Service Providers
Psychologist
MT357
N103TA0400XBehavioral Health & Social Service Providers
Psychologist
WY420
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
MT357
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
WY420
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
MT357
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
WY420
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
MT357
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
WY420
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
MT357
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
WY420
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MT357

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD52431MT01
WYOMING EQUALITY CARE1206672 00WY01
PREFERRED ONE180461042494MT01
0492405MT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MT - Page 1



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