MEDICARE: SARAH KATE FERRIGNO

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	106H00000X	Marriage & Family Therapist	3319	CT

General Provider Information

NPI Number	:	1679215594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KATE FERRIGNO

Provider Business Mailing Address
First Line	:	141 DURHAM RD STE 19
Second Line	:
City	:	MADISON
State	:	CT
Zip	:	06443-2657
Country	:	US
Telephone Number	:	860-748-2054
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 DURHAM RD STE 19
Second Line	:
City	:	MADISON
State	:	CT
Zip	:	06443-2657
Country	:	US
Telephone Number	:	860-748-2054
Fax Number	:

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

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	12/03/2024

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