Provider Demographics
NPI:1871624858
Name:BONARRIGO, HEATHER DAWN (MA)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:DAWN
Last Name:BONARRIGO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 RAILROAD AVENUE UNIT 4
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952
Mailing Address - Country:US
Mailing Address - Phone:978-697-3345
Mailing Address - Fax:
Practice Address - Street 1:140 RAILROAD AVE UNIT 4
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MA
Practice Address - Zip Code:01952-2807
Practice Address - Country:US
Practice Address - Phone:978-697-3345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health