Provider Demographics
NPI:1467061184
Name:ROCKWOOD, EMMA
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:ROCKWOOD
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 1:531 WASHINGTON ST STE 4124
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-4037
Mailing Address - Country:US
Mailing Address - Phone:315-782-4483
Mailing Address - Fax:315-785-9210
Practice Address - Street 1:531 WASHINGTON ST STE 4124
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-4037
Practice Address - Country:US
Practice Address - Phone:315-782-4483
Practice Address - Fax:315-785-9210
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health