Provider Demographics
NPI:1356980767
Name:FERREIRA, WILLIAM JAMES (PSYCHOLOGY EXAMINER)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JAMES
Last Name:FERREIRA
Suffix:
Gender:M
Credentials:PSYCHOLOGY EXAMINER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WESTWOODS RD
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6274
Mailing Address - Country:US
Mailing Address - Phone:207-251-1330
Mailing Address - Fax:
Practice Address - Street 1:8 WESTWOODS RD
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6274
Practice Address - Country:US
Practice Address - Phone:207-251-1330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPE626103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool