Doctor Name: | SALLY MCAULEY |
NPI Number: | 1023109915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | CDP00448 |
Business Practice Address: | 55 John A Cummings Way Woonsocket, RI - 028953247 |
Business Phone Number: | 4012357000 |
Business Fax Number: | |
Mailing Address: | 272 Pontiac Ave # 2, CRANSTON |
State: | RI |
Postal Code: | 029102003 |
Phone Number: | 4019413144 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CDP00448 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |