Provider Demographics
NPI:1518116243
Name:TAPP, RONKE LATTIMORE (PHD)
Entity Type:Individual
Prefix:
First Name:RONKE
Middle Name:LATTIMORE
Last Name:TAPP
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:PO BOX 270356
Mailing Address - Street 2:UNIVERSITY COUNSELING CENTER, U OF ROCHESTER
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14627-0356
Mailing Address - Country:US
Mailing Address - Phone:585-275-3113
Mailing Address - Fax:585-442-0815
Practice Address - Street 1:738 LIBRARY ROAD
Practice Address - Street 2:3RD FLR UNIVERSITY COUNSELING CENTER U OF ROCHESTER
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14627-0356
Practice Address - Country:US
Practice Address - Phone:585-275-3113
Practice Address - Fax:585-442-0815
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017355103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling