Provider Demographics
NPI:1740680966
Name:STEINWURTZEL, ROCHELLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:
Last Name:STEINWURTZEL
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 1:26 PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3702
Mailing Address - Country:US
Mailing Address - Phone:516-610-5640
Mailing Address - Fax:
Practice Address - Street 1:26 PINECREST DR
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-3702
Practice Address - Country:US
Practice Address - Phone:516-610-5640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68020509103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist