Provider Demographics
NPI:1588172183
Name:ROCHE, STEVEE (MS, LPC)
Entity type:Individual
Prefix:
First Name:STEVEE
Middle Name:
Last Name:ROCHE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 RINARD LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:15074-2607
Mailing Address - Country:US
Mailing Address - Phone:878-207-7375
Mailing Address - Fax:
Practice Address - Street 1:102 RINARD LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:PA
Practice Address - Zip Code:15074-2607
Practice Address - Country:US
Practice Address - Phone:878-207-7375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010075101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional