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Individual

MR. GERARD EDWARD FERRARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, CAGS

Contact information

Practice address
121 MIDDLE ST, MANCHESTER, NH 03101-1905
(603) 759-9240
Mailing address
111 LOON POND RD, GILMANTON, NH 03237-5114
(603) 267-8829

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
657
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1310
STATE LIC. AS PSYCHOLOGIT
MA
01
22252
NAT.REGISTER PSYCHOLOGY
05
30420791
NH
01
657
STATE LIC AS PSYCHOLOGIST
NH
Enumeration date
03/13/2007
Last updated
07/09/2007
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