Provider Demographics
NPI:1487430641
Name:RODRIGUEZ-WILLIAMS, JOCELYN REBECCA (MAED)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:REBECCA
Last Name:RODRIGUEZ-WILLIAMS
Suffix:
Gender:F
Credentials:MAED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9634 BROOK MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46055-8803
Mailing Address - Country:US
Mailing Address - Phone:317-936-6797
Mailing Address - Fax:
Practice Address - Street 1:11721 OLIO RD
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9414
Practice Address - Country:US
Practice Address - Phone:317-936-6797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist