Doctor Name: | DR. COREY JOSEPH NIGRO |
NPI Number: | 1205149754 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | 9880 |
Business Practice Address: | 142 Enterprise St Duxbury, MA - 023323302 |
Business Phone Number: | 6177509411 |
Business Fax Number: | |
Mailing Address: | 142 Enterprise St, DUXBURY |
State: | MA |
Postal Code: | 023323302 |
Phone Number: | 6177509411 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2010 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 9880 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |