William Peter Lafferty

Individual provider Active NPI Professional Counselor · Wrentham, MA

NPI 1548748940 · NPPES record last updated Jul 30, 2018

Key facts

NPI
1548748940
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
131 Emerald St
Wrentham, MA 02093-1902
Phone
(508) 384-1638
Fax
(508) 384-5562
NPI assigned
Jul 30, 2018
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

131 Emerald St
Wrentham, MA 02093-1902

Mailing address

131 Emerald St
Wrentham, MA 02093-1902
Phone (508) 384-1638

Other identifiers

IdentifierTypeStateIssuer
107234OtherMASTATE OF MASSA

Other providers in Wrentham, MA

All providers in Wrentham, MA · Professional Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.