Provider Demographics
NPI:1255519666
Name:GLAZIER, ROCHELLE (LMFT)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:GLAZIER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 FLORENCE ST
Mailing Address - Street 2:APT. 405-S
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1957
Mailing Address - Country:US
Mailing Address - Phone:617-332-3176
Mailing Address - Fax:617-332-3176
Practice Address - Street 1:79 FLORENCE ST
Practice Address - Street 2:APT. 405-S
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1957
Practice Address - Country:US
Practice Address - Phone:617-332-3176
Practice Address - Fax:617-332-3176
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22101YM0800X
MA138106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health