Provider Demographics
NPI:1104925924
Name:ROCHE, CATHERINE J (LMFT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:J
Last Name:ROCHE
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 1:37873 BAYVIEW CIR E
Mailing Address - Street 2:
Mailing Address - City:SELBYVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19975-2873
Mailing Address - Country:US
Mailing Address - Phone:203-733-0126
Mailing Address - Fax:
Practice Address - Street 1:37873 BAYVIEW CIR E
Practice Address - Street 2:
Practice Address - City:SELBYVILLE
Practice Address - State:DE
Practice Address - Zip Code:19975-2873
Practice Address - Country:US
Practice Address - Phone:203-733-0126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEFT-0010100106H00000X
FLTPMF589106H00000X
CT000535106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist