Provider Demographics
NPI:1619160249
Name:RAGUCCI, ANN MARIE (MED)
Entity Type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:
Last Name:RAGUCCI
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BELLINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-1219
Mailing Address - Country:US
Mailing Address - Phone:617-387-0376
Mailing Address - Fax:
Practice Address - Street 1:14 BELLINGHAM AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-1219
Practice Address - Country:US
Practice Address - Phone:617-387-0376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health