Doctor Name: | DR. BARRY J NIGROSH |
NPI Number: | 1356453070 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PY 1900 PR |
Business Practice Address: | 25 College St South Hadley, MA - 010756460 |
Business Phone Number: | 4135399731 |
Business Fax Number: | 4135386116 |
Mailing Address: | 25 College St, SOUTH HADLEY |
State: | MA |
Postal Code: | 010756460 |
Phone Number: | 4135399731 |
Fax Number: | 4135386116 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 12/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0200X |
License Number: | PY 1900 PR |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Forensic |
Taxonomy Definition: |