Provider Demographics
NPI:1619229077
Name:ROCKMORE, LORI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:
Last Name:ROCKMORE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 MORRIS TPKE
Mailing Address - Street 2:SUITE 2G
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2622
Mailing Address - Country:US
Mailing Address - Phone:908-723-2375
Mailing Address - Fax:
Practice Address - Street 1:636 MORRIS TPKE
Practice Address - Street 2:SUITE 2G
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2622
Practice Address - Country:US
Practice Address - Phone:908-723-2375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2014-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100424100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical