Provider Demographics
NPI:1801098389
Name:WOLFF, NOMFUNDO NTOMBIZANDILE (PHD)
Entity type:Individual
Prefix:DR
First Name:NOMFUNDO
Middle Name:NTOMBIZANDILE
Last Name:WOLFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 CRAIG DRIVE
Mailing Address - Street 2:SUITE T2
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089
Mailing Address - Country:US
Mailing Address - Phone:413-335-8175
Mailing Address - Fax:
Practice Address - Street 1:1233 MAIN STREET
Practice Address - Street 2:PROVIDENCE HOSPITAL
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-493-2731
Practice Address - Fax:413-493-2731
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist