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DR. GARY B. ROCHELLE PH.D.

Clinical Neuropsychologist

Plano, Texas

Provider NPI: 1932162898

Provider Information:
DR. GARY B. ROCHELLE PH.D.
Gender: M
Sole Proprietor


Practice Location:
2301 OHIO DR STE. 130 PLANO, TX 75093 US
Tel: 214-498-9392  Fax: 972-596-0238

Business Mailing Address:
2220 COIT RD STE. 480, PMB 304 PLANO, TX 75075 US
Tel: 214-498-9392  Fax: 972-596-0238

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX15435

Other Provider Identifiers:

IssuerNumberStateType
BCBS PROVIDER NUMBER0090HVTX01
TRICARE PROVIDER NUMBER030388921TX01
TAX ID030388921TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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