Provider Demographics
NPI:1659545291
Name:PIFFERINI, BRIAN C (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:C
Last Name:PIFFERINI
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 1:913 FALLEN LEAF WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-5317
Mailing Address - Country:US
Mailing Address - Phone:916-806-9090
Mailing Address - Fax:
Practice Address - Street 1:913 FALLEN LEAF WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-5317
Practice Address - Country:US
Practice Address - Phone:916-806-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 19094103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical