Provider Demographics
NPI:1043855125
Name:COCCHI, ASHLEY
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:COCCHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 KING ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-2751
Mailing Address - Country:US
Mailing Address - Phone:413-579-7050
Mailing Address - Fax:
Practice Address - Street 1:2 TUNXIS RD STE 204
Practice Address - Street 2:
Practice Address - City:TARIFFVILLE
Practice Address - State:CT
Practice Address - Zip Code:06081-9687
Practice Address - Country:US
Practice Address - Phone:413-579-8693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-12
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3792101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional