Provider Demographics
NPI:1992868632
Name:FERRETTI, LOUISE EMILY (PHD)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:EMILY
Last Name:FERRETTI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 HUNTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1295
Mailing Address - Country:US
Mailing Address - Phone:716-688-5815
Mailing Address - Fax:
Practice Address - Street 1:5820 MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5776
Practice Address - Country:US
Practice Address - Phone:716-866-8517
Practice Address - Fax:716-565-1511
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013574103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist