Doctor Name: | HENRY E PIGOTT |
NPI Number: | 1619312204 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PY 8663 |
Business Practice Address: | 430 N Lyra Cir Juno Beach, FL - 334081902 |
Business Phone Number: | 4438129497 |
Business Fax Number: | |
Mailing Address: | 430 N Lyra Cir, JUNO BEACH |
State: | FL |
Postal Code: | 334081902 |
Phone Number: | 4438129497 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2013 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY 8663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |