Provider Demographics
NPI:1740306562
Name:HOCKER, ROSLA L (LPC)
Entity type:Individual
Prefix:MISS
First Name:ROSLA
Middle Name:L
Last Name:HOCKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 ORIENTAL AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-2680
Mailing Address - Country:US
Mailing Address - Phone:817-226-1638
Mailing Address - Fax:
Practice Address - Street 1:1402 ORIENTAL AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-2680
Practice Address - Country:US
Practice Address - Phone:817-226-1638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2883104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2883OtherLICENSE #