MEDICARE: DR. RICHARD P. HALGIN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1947	MA

General Provider Information

NPI Number	:	1275578585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD P. HALGIN PH.D.

Provider Business Mailing Address
First Line	:	150 FEARING ST
Second Line	:	STE 12
City	:	AMHERST
State	:	MA
Zip	:	01002-1942
Country	:	US
Telephone Number	:	413-545-5966
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 FEARING ST
Second Line	:	STE 12
City	:	AMHERST
State	:	MA
Zip	:	01002-1942
Country	:	US
Telephone Number	:	413-545-5966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	12/17/2019

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