| Organization Name: | SAKONNET PSYCHOLOGICAL SERVICES |
| NPI Number: | 1518977024 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LOUIS ANTHONY CERBO (CLINICAL PSYCHOLOGIST/OWNER) |
| Mailing Address: | 1061 Fish Rd Tiverton |
| State: | RI US |
| Postal Code: | 028783103 |
| Phone Number: | 4016249981 |
| Fax Number: | 4014622111 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 07/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6166 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |