Provider Demographics
NPI:1346739208
Name:DLUGOS, RAYMOND FRANCIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:FRANCIS
Last Name:DLUGOS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 ELM ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1637
Mailing Address - Country:US
Mailing Address - Phone:978-886-8049
Mailing Address - Fax:
Practice Address - Street 1:196 ELM ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-1637
Practice Address - Country:US
Practice Address - Phone:978-886-8049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9030-PY-PR103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty