Provider Demographics
NPI:1144909284
Name:UNGERMAN, CRAIG J
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:J
Last Name:UNGERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 LETTERS ST
Mailing Address - Street 2:
Mailing Address - City:PUTNAM
Mailing Address - State:CT
Mailing Address - Zip Code:06260-2016
Mailing Address - Country:US
Mailing Address - Phone:860-942-1658
Mailing Address - Fax:
Practice Address - Street 1:5 OPTICAL DR
Practice Address - Street 2:
Practice Address - City:SOUTHBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01550-2559
Practice Address - Country:US
Practice Address - Phone:508-519-3590
Practice Address - Fax:508-849-3882
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty