Organization Name: | LINCOLN PSYCHIATRIC SERVICES, INC. |
NPI Number: | 1194943845 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALTER D FITZHUGH (PRESIDENT) |
Mailing Address: | 652 George Washington Hwy Suite 400 Lincoln |
State: | RI US |
Postal Code: | 028654267 |
Phone Number: | 4013341830 |
Fax Number: | 4013341833 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 09/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 78755 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |