Provider Demographics
NPI:1306270012
Name:BOCKMIER-SOMMERS, CATHERINE (MA, LCPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:BOCKMIER-SOMMERS
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:BOCKMIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:21799 HIDEAWAY ESTATES RD
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:IL
Mailing Address - Zip Code:62675-6282
Mailing Address - Country:US
Mailing Address - Phone:217-801-3133
Mailing Address - Fax:
Practice Address - Street 1:21799 HIDEAWAY ESTATES RD
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:IL
Practice Address - Zip Code:62675-6282
Practice Address - Country:US
Practice Address - Phone:217-801-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009410101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional