Organization Name: | SOUTH COUNTY CHILD & FAMILY CONSULTANTS |
NPI Number: | 1467515957 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | I. RANDY KULMAN (PRESIDENT) |
Mailing Address: | 1058 Kingstown Rd Peace Dale |
State: | RI US |
Postal Code: | 028792487 |
Phone Number: | 4017891553 |
Fax Number: | 4017821313 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS00313 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |