| Doctor Name: | BETHANY ANN QUADROS |
| NPI Number: | 1033406327 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | |
| Business Practice Address: | 55 Cummings Way Woonsocket, RI - 028953247 |
| Business Phone Number: | 4012357000 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1700, WOONSOCKET |
| State: | RI |
| Postal Code: | 028950856 |
| Phone Number: | 4012357000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2011 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |