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NPI Code Detail

MEDICARE: DR. SALVATOR JOHN FERRERA PHD

MEDICARE:  DR. SALVATOR JOHN FERRERA  PHD
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
1103TC0700XClinical PsychologistIL

General Provider Information

NPI Number : 1801931415
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALVATOR JOHN FERRERA PHD
Provider Business Mailing Address
First Line : 3023 N CLARK ST #914
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5200
Country : US
Telephone Number : 312-316-9990
Fax Number : 773-281-4844
Provider Business Practice Location Address
First Line : 3023 N CLARK ST #914
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5200
Country : US
Telephone Number : 312-316-9990
Fax Number : 773-281-4844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/08/2007

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Directions to “ DR. SALVATOR JOHN FERRERA PHD” Practice Location

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