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Contact Information

THEODORE R DEROCHE, PHD
2760 SE 17TH STREET
SUITE 300
OCALA, FL34471
 Phone: 352-629-4113
 Fax: 386-439-1403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for THEODORE R DEROCHE · (Male)

NPI # 1013036607
Status Active
Credentials PHD
Entity Individual
Enumeration date 03/28/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # MH50
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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