Provider Demographics
NPI:1215025739
Name:LAUFER-ROCKOWITZ, JILL LINDA (EDS, LMHC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:LINDA
Last Name:LAUFER-ROCKOWITZ
Suffix:
Gender:F
Credentials:EDS, LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 GARVEY DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109-1515
Mailing Address - Country:US
Mailing Address - Phone:413-782-6947
Mailing Address - Fax:
Practice Address - Street 1:110 MAPLE STREET
Practice Address - Street 2:CHILD GUIDANCE CLINIC
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105
Practice Address - Country:US
Practice Address - Phone:413-732-7419
Practice Address - Fax:413-781-1059
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA357101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health