THEODORE R DEROCHE

OCALA, FL
NPI1013036607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH50)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
-- THEODORE R DEROCHE PhD
2760 SE 17TH STREET SUITE 300
OCALA, FL 34471
Phone number: 352-629-4113
Mailing Address
-- THEODORE R DEROCHE PhD
701 NORTH CENTRAL AVE
FLAGLER BEACH, FL 32136
Phone number: 386-439-1403