Psychological Support Services

NPI 1023173499 - Psychologist - 103T00000X

NPI Details
NPI 1023173499
Enumeration Date 12/26/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANDREA MELINDA ANDREA
Position PRESIDENT
Phone (401) 808-0070
Fax
Practice Location
1020 PARK AVE
SUITE 213
CRANSTON RI, 02910-3227, US
Phone (401) 808-0070
Fax
Business Location
57 KNOTTY OAK SHRS
COVENTRY RI, 02816-7940, US
Phone (401) 615-5384
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Rhode Island
License Number PS00945
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According to our database, Psychological Support Services NPI is 1023173499, taxonomy code is 103T00000X and license number is PS00945, license state is located at Rhode Island. Psychological Support Services physically located at 1020 Park Ave, Cranston RI, 02910-3227. NPI Number 1033115704 has the healthcare provider type.

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1023173499 NPI number is provided on an as is basis without warranty of any kind. 1023173499 is maintained by the National Plan & Provider Enumeration System. The contents of Psychological Support Services are for informational purposes only.