Provider Demographics
NPI:1699713461
Name:FERRARONE, WILLIAM GERARD (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GERARD
Last Name:FERRARONE
Suffix:
Gender:M
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:279 LINCOLN ST
Mailing Address - Street 2:UMASS MEMORIAL MED CTR, AMBULATORY PSYCHIATRY SERVICE
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2120
Mailing Address - Country:US
Mailing Address - Phone:508-334-2537
Mailing Address - Fax:508-334-3000
Practice Address - Street 1:279 LINCOLN ST
Practice Address - Street 2:UMASS MEMORIAL MED CTR, AMBULATORY PSYCHIATRY SERVICE
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2120
Practice Address - Country:US
Practice Address - Phone:508-334-2537
Practice Address - Fax:508-334-3000
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA4967103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW 04714Medicare PIN