Provider Demographics
NPI:1790937779
Name:FERREIRA-IANNONE, SANDRA CRISTINA (LMHC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:CRISTINA
Last Name:FERREIRA-IANNONE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:FERREIRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 600753
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02460-0007
Mailing Address - Country:US
Mailing Address - Phone:617-916-9176
Mailing Address - Fax:
Practice Address - Street 1:88 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6354
Practice Address - Country:US
Practice Address - Phone:508-620-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6738101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health