Individual
DR. JACK T. LAFORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
53 CENTER ST, NORTHAMPTON, MA 01060-3000
(413) 586-6100
(413) 586-3332
Mailing address
53 CENTER ST, NORTHAMPTON, MA 01060-3000
(413) 586-6100
(413) 586-3332
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4323
MA
106H00000X
Marriage & Family Therapist
33
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004556
VALUE OPTIONS
MA
01
—
33
LMFT LICENSE
MA
01
—
4323
PSYCHOLOGISTS LICENSE
MA
01
—
799131
TUFTS HEALTH PLAN PROVIDE
MA
01
—
84244110
UBH ONLINE ID
MA
Enumeration date
10/11/2006
Last updated
09/11/2025
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