Provider Demographics
NPI:1356533780
Name:TURRIGIANO, MICHAEL JOSEF (MICHAEL TURRIGIANO)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JOSEF
Last Name:TURRIGIANO
Suffix:
Gender:M
Credentials:MICHAEL TURRIGIANO
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:JOSEF
Other - Last Name:NANKERIVS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, MS
Mailing Address - Street 1:250 BON AIR RD
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1702
Mailing Address - Country:US
Mailing Address - Phone:707-363-7182
Mailing Address - Fax:
Practice Address - Street 1:250 BON AIR RD
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1702
Practice Address - Country:US
Practice Address - Phone:707-363-7182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 52403106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist