Individual
MS. PATRICIA HALL PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
388 COLUMBUS AVENUE EXT, PITTSFIELD, MA 01201-4903
(413) 499-4537
(413) 448-8223
Mailing address
388 COLUMBUS AVENUE EXT, PITTSFIELD, MA 01201-4903
(413) 499-4537
(413) 448-8223
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
017D
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222Q00000X
TAXONOMY NUMBER
MA
Enumeration date
11/13/2007
Last updated
11/13/2007
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