Provider Demographics
NPI:1790863769
Name:WURGAFT, MOSHE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MOSHE
Middle Name:
Last Name:WURGAFT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 N PLEASANT ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1736
Mailing Address - Country:US
Mailing Address - Phone:413-230-7027
Mailing Address - Fax:866-398-8498
Practice Address - Street 1:256 N PLEASANT ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1736
Practice Address - Country:US
Practice Address - Phone:413-230-7027
Practice Address - Fax:866-398-8498
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6055101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health