Doctor Name: | CAROLYN A DIDONATO |
NPI Number: | 1003066762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, QMHP |
License Number: | 452 |
Business Practice Address: | 50 Health Ln Warwick, RI - 028862711 |
Business Phone Number: | 4017325656 |
Business Fax Number: | 4017388634 |
Mailing Address: | 50 Health Ln, WARWICK |
State: | RI |
Postal Code: | 028862711 |
Phone Number: | 4017325656 |
Fax Number: | 4017388634 |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 09/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |