Provider Demographics
NPI:1508414194
Name:SYKES, ROCHELLE B (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:B
Last Name:SYKES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6542 N 17TH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-1387
Mailing Address - Country:US
Mailing Address - Phone:602-946-8667
Mailing Address - Fax:
Practice Address - Street 1:15650 N BLACK CANYON HWY STE B140
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-4064
Practice Address - Country:US
Practice Address - Phone:602-946-8667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ005775103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical