Provider Demographics
NPI:1346937364
Name:ROCCHINO, GABRIELLE H (PHD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELLE
Middle Name:H
Last Name:ROCCHINO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 N CEDAR CREST BLVD # 426
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2318
Mailing Address - Country:US
Mailing Address - Phone:610-417-3754
Mailing Address - Fax:
Practice Address - Street 1:2224 QUARRY STREET
Practice Address - Street 2:
Practice Address - City:COPLAY
Practice Address - State:PA
Practice Address - Zip Code:18037
Practice Address - Country:US
Practice Address - Phone:484-403-0802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019514103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling