Provider Demographics
NPI:1497807655
Name:ROCKEY, MARSHA LYNNE (PSYD, HSPP)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:LYNNE
Last Name:ROCKEY
Suffix:
Gender:F
Credentials:PSYD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 IRONWOOD DR
Mailing Address - Street 2:STE C
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-8324
Mailing Address - Country:US
Mailing Address - Phone:317-868-8300
Mailing Address - Fax:317-868-8302
Practice Address - Street 1:600 IRONWOOD DR
Practice Address - Street 2:STE C
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-8324
Practice Address - Country:US
Practice Address - Phone:317-868-8300
Practice Address - Fax:317-868-8302
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042221A103TC0700X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL761086600Medicaid
IN201338810Medicaid