| Doctor Name: | DR. LOUIS ANTHONY CERBO |
| NPI Number: | 1225048721 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D. |
| License Number: | 6166 |
| Business Practice Address: | 1061 Fish Rd Tiverton, RI - 028783103 |
| Business Phone Number: | 4016249981 |
| Business Fax Number: | 4014622111 |
| Mailing Address: | Po Box 272, TIVERTON |
| State: | RI |
| Postal Code: | 02878 |
| Phone Number: | 4016249981 |
| Fax Number: | 4014622111 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6166 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |