Provider Demographics
NPI:1932569043
Name:ROJEK, KATE
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:ROJEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 W CARMEL DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2996
Mailing Address - Country:US
Mailing Address - Phone:317-569-5433
Mailing Address - Fax:317-569-1767
Practice Address - Street 1:615 W CARMEL DR
Practice Address - Street 2:SUITE 120
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2996
Practice Address - Country:US
Practice Address - Phone:317-569-5433
Practice Address - Fax:317-569-1767
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002744A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN39002744AOtherSTATE LICENSE NUMBER