Peter S Lacanfora, PSY.D
Individual provider Active NPI Clinical Psychologist · South Grafton, MA
NPI 1235451667 · NPPES record last updated Feb 26, 2010
Key facts
- NPI
- 1235451667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 7866 (MA)
- Practice address
- 7 Seaver Farm LN
South Grafton, MA 01560-1222 - Phone
- (774) 437-9723
- NPI assigned
- Feb 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7866 | MA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7866 | MA | Yes |
Addresses
Primary practice location
7 Seaver Farm LN
South Grafton, MA 01560-1222
Mailing address
7 Seaver Farm LN
South Grafton, MA 01560-1222
Phone (774) 437-9723
Other providers in South Grafton, MA
- Nadin Gendy
- Rita Melanie Goldstein
- Chani Greiner
- Chase Kapuscienski
- Colleen Karow
- Fedna Laurent
- Michelle Lemay
- Med Consultants LLC
- Tina I Melifonwu
- Dorcas Mwathi
All providers in South Grafton, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.