| Doctor Name: | DR. CONSTANCE MAY COUSINS |
| NPI Number: | 1851466551 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DDS |
| License Number: | 2249 |
| Business Practice Address: | 29 Updike Ave North Kingstown, RI - 028525728 |
| Business Phone Number: | 4012951992 |
| Business Fax Number: | |
| Mailing Address: | 29 Updike Ave, NORTH KINGSTOWN |
| State: | RI |
| Postal Code: | 028525728 |
| Phone Number: | 4012951992 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2249 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |