Organization Name: | MEDOP BEHAVIORAL HEALTH ASSOCIATES OF RHODE ISLAND PC |
NPI Number: | 1013129220 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA DOOLEY (CFO) |
Mailing Address: | 345 Blackstone Blvd 1st Floor, Weld Building Providence |
State: | RI US |
Postal Code: | 02906 |
Phone Number: | 8003703651 |
Fax Number: | 8605100020 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 09/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |