Provider Demographics
NPI:1790586725
Name:ROCHE, EMMA (BA)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:ROCHE
Suffix:
Gender:
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MEADOW ST FL 1
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-3222
Mailing Address - Country:US
Mailing Address - Phone:774-284-1981
Mailing Address - Fax:
Practice Address - Street 1:1500 MAIN STREET
Practice Address - Street 2:SUITE 240A
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01115
Practice Address - Country:US
Practice Address - Phone:888-763-7272
Practice Address - Fax:877-243-2959
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health