Doctor Name: | ANDON PAUL JOSEPH |
NPI Number: | 1003155904 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LICSW |
License Number: | ISW01566 |
Business Practice Address: | 90 Parkside Dr West Greenwich, RI - 028172024 |
Business Phone Number: | 4013859601 |
Business Fax Number: | |
Mailing Address: | 90 Parkside Dr, WEST GREENWICH |
State: | RI |
Postal Code: | 028172024 |
Phone Number: | 4013859601 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2013 |
NPI Last Update Date: | 02/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW01566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |