Provider Demographics
NPI:1386032670
Name:ROCKOWER, ALISSA (MS)
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:
Last Name:ROCKOWER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 NE 25TH AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-8800
Mailing Address - Country:US
Mailing Address - Phone:352-789-7606
Mailing Address - Fax:
Practice Address - Street 1:1601 NE 25TH AVE STE 206
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-8800
Practice Address - Country:US
Practice Address - Phone:352-789-7606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health