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Individual

DR. GINA M FERRANDINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
27485 THREE MILE POINT RD, CHAUMONT, NY 13622-2187
(609) 774-3559
(315) 772-2558
Mailing address
27485 THREE MILE POINT RD, CHAUMONT, NY 13622-2187
(609) 774-3559

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
35SI00364100
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00364100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6941206
NJ
Enumeration date
08/30/2006
Last updated
02/14/2017
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