| Doctor Name: | MICHAEL PETER VERGNANI |
| NPI Number: | 1215260484 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PSO01139 |
| Business Practice Address: | 192 Stony Ln North Kingstown, RI - 028523826 |
| Business Phone Number: | 4015952968 |
| Business Fax Number: | |
| Mailing Address: | Po Box 972, NORTH KINGSTOWN |
| State: | RI |
| Postal Code: | 028520611 |
| Phone Number: | 4015952968 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2009 |
| NPI Last Update Date: | 09/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSO01139 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |