Provider Demographics
NPI:1629567003
Name:BRIGATTI, LUDOVICA (PHD)
Entity Type:Individual
Prefix:DR
First Name:LUDOVICA
Middle Name:
Last Name:BRIGATTI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 VANDERBILT AVE APT 409
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-3363
Mailing Address - Country:US
Mailing Address - Phone:646-245-3999
Mailing Address - Fax:
Practice Address - Street 1:174 VANDERBILT AVE APT 409
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-3363
Practice Address - Country:US
Practice Address - Phone:646-245-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019729103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist