Providence Behavioral Health Associates Inc

NPI 1023142700 - Psychologist - 103TC0700X

NPI Details
NPI 1023142700
Enumeration Date 03/15/2007
Last Updated 05/23/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN F. JOHN
Position CLINICAL PSYCHOLOGIST
Phone (401) 369-9224
Fax (401) 369-9275
Practice Location
1086 SMITH STREET
PROVIDENCE RI, 02908-2659, US
Phone (401) 369-9224
Fax (401) 369-9275
Business Location
1086 SMITH ST
PROVIDENCE RI, 02908-2738, US
Phone (401) 369-9224
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Rhode Island
License Number PS00948
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According to our database, Providence Behavioral Health Associates Inc NPI is 1023142700, taxonomy code is 103TC0700X and license number is PS00948, license state is located at Rhode Island. Providence Behavioral Health Associates Inc physically located at 1086 Smith Street, Providence RI, 02908-2659. NPI Number 1033115704 has the healthcare provider type.

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1023142700 NPI number is provided on an as is basis without warranty of any kind. 1023142700 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Behavioral Health Associates Inc are for informational purposes only.