Doctor Name: | CYNDIA LEE RAFFERTY |
NPI Number: | 1689675787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, PC |
License Number: | 105180 |
Business Practice Address: | 282 Main St Groveland, MA - 018341229 |
Business Phone Number: | 9787582087 |
Business Fax Number: | |
Mailing Address: | 95 Parker St, NEWBURYPORT |
State: | MA |
Postal Code: | 019504033 |
Phone Number: | 8004078118 |
Fax Number: | 8005552336 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 02/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 105180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |