| Dr. B. J. Ferraccio, Llc | |
|
204 5th Avenue Ste 402 Pittsburgh PA 15222-2706 | |
| (724) 244-5763 | |
| Not Available |
| Full Name | Dr. B. J. Ferraccio, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 204 5th Avenue, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Brian Joseph Ferraccio (MANAGING MEMBER / PSYCHOLOGIST) |
| Authorized Official Contact | 7242445763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. B. J. Ferraccio, Llc 330 Evergreen Ct Apollo PA 15613-1269 Ph: (724) 244-5763 | Dr. B. J. Ferraccio, Llc 204 5th Avenue Ste 402 Pittsburgh PA 15222-2706 Ph: (724) 244-5763 |
| NPI Number | 1508553108 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 6305203902 |
|---|---|
| Medicare Enrollment ID | O20230613000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508553108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Brian Joseph Ferraccio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033759980 PECOS PAC ID: 7113384710 Enrollment ID: I20230613000018 |
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