Provider Demographics
NPI:1356614564
Name:VIGEANT, ANTHONY LAWRENCE (MA, CAGS)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:LAWRENCE
Last Name:VIGEANT
Suffix:
Gender:M
Credentials:MA, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:MA
Mailing Address - Zip Code:01562-2051
Mailing Address - Country:US
Mailing Address - Phone:774-272-2319
Mailing Address - Fax:
Practice Address - Street 1:36 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:MA
Practice Address - Zip Code:01562-2051
Practice Address - Country:US
Practice Address - Phone:774-272-2319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-18
Last Update Date:2012-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health