Provider Demographics
NPI:1770679995
Name:FERRIS, JOHN DANA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DANA
Last Name:FERRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 POST OFFICE PARK
Mailing Address - Street 2:SUITE 3504
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-1172
Mailing Address - Country:US
Mailing Address - Phone:413-596-6922
Mailing Address - Fax:413-596-6755
Practice Address - Street 1:35 POST OFFICE PARK
Practice Address - Street 2:SUITE 3504
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1172
Practice Address - Country:US
Practice Address - Phone:413-596-6922
Practice Address - Fax:413-596-6755
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA489932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry