Doctor Name: | MR. GARY V FERRIGNO |
NPI Number: | 1609145192 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., BCBA |
License Number: | 1-11-9627 |
Business Practice Address: | 36 Ridgeway Dr Feeding Hills, MA - 010301704 |
Business Phone Number: | 4133309237 |
Business Fax Number: | |
Mailing Address: | 36 Ridgeway Dr, FEEDING HILLS |
State: | MA |
Postal Code: | 010301704 |
Phone Number: | 4133309237 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2011 |
NPI Last Update Date: | 12/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 1-11-9627 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |