Healthcare Provider Details

I. General information

NPI: 1881655009
Provider Name (Legal Business Name): FLORENCE W ROSENSTOCK MSW LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

664 MAIN STREET SUITE 58
AMHERST MA
01002-2439
US

IV. Provider business mailing address

PO BOX 296
AMHERST MA
01004-0296
US

V. Phone/Fax

Practice location:
  • Phone: 413-256-1840
  • Fax: 413-253-5306
Mailing address:
  • Phone: 413-256-1840
  • Fax: 413-253-5306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1029563
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: