Doctor Name: | STEVEN RICHARD STORTI |
NPI Number: | 1639317753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BA, LCDP, ACDP |
License Number: | CDP00444 |
Business Practice Address: | 144 Foddering Farm Rd Narragansett, RI - 028824113 |
Business Phone Number: | 4013381937 |
Business Fax Number: | 4012955255 |
Mailing Address: | 144 Foddering Farm Rd, NARRAGANSETT |
State: | RI |
Postal Code: | 028824113 |
Phone Number: | 4013381937 |
Fax Number: | 4012955255 |
NPI Enumeration Date: | 01/27/2009 |
NPI Last Update Date: | 01/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CDP00444 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |