Organization Name: | RONDEAU PSYCHOTHERAPY |
NPI Number: | 1417130907 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA RONDEAU (OWNER / CLINCAL DIRECTOR) |
Mailing Address: | 2 Rainone Ct Coventry |
State: | RI US |
Postal Code: | 028168728 |
Phone Number: | 4014995366 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2007 |
NPI Last Update Date: | 12/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 00223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |