Provider Demographics
NPI:1730312323
Name:WURGAFT, NINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NINA
Middle Name:
Last Name:WURGAFT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 N PLEASANT ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1736
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:256 N PLEASANT ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1736
Practice Address - Country:US
Practice Address - Phone:413-336-4757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9053103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical