Provider Demographics
NPI:1154859478
Name:FERREIRA, MARK SERGIO (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:SERGIO
Last Name:FERREIRA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 OXFORD VALLEY RD STE 1803A
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7725
Mailing Address - Country:US
Mailing Address - Phone:267-394-7805
Mailing Address - Fax:
Practice Address - Street 1:301 OXFORD VALLEY RD STE 1803A
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7725
Practice Address - Country:US
Practice Address - Phone:267-394-7805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-31
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018274103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical