Provider Demographics
NPI:1336366194
Name:ROCKTASCHEL, DANIELLE JENNIFER (NYSLIC AUD)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:JENNIFER
Last Name:ROCKTASCHEL
Suffix:
Gender:F
Credentials:NYSLIC AUD
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Mailing Address - Street 1:6800 PITTSFORD PALMYRA RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-3584
Mailing Address - Country:US
Mailing Address - Phone:585-223-5090
Mailing Address - Fax:585-425-1785
Practice Address - Street 1:6800 PITTSFORD PALMYRA RD
Practice Address - Street 2:SUITE 320
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-3584
Practice Address - Country:US
Practice Address - Phone:585-223-5090
Practice Address - Fax:585-425-1785
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2025-09-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY001874-1231H00000X, 231HA2400X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier