NPI 1013144492
Jennifer Rancourt Civello, MACTTS
Practice location
- Address
- 71 Hospital Ave, North Adams, MA 01247-2504
- Phone
- (413) 664-5567
- Fax
- (413) 664-5087
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1013144492
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jun 2009
- Record last updated
- 12 Jun 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.