Angela Rudner Psychotherapy Llc | |
1 Richmond Sq Ste152 E Providence RI 02906-5139 | |
(401) 573-9905 | |
Not Available |
Full Name | Angela Rudner Psychotherapy Llc |
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Speciality | Social Worker |
Location | 1 Richmond Sq, Providence, Rhode Island |
Authorized Official Name and Position | Angela Susan Rudner (PRESIDENT) |
Authorized Official Contact | 4015739905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Angela Rudner Psychotherapy Llc 2 Regency Plz Apt 1212 Providence RI 02903-3156 Ph: (410) 370-0076 | Angela Rudner Psychotherapy Llc 1 Richmond Sq Ste152 E Providence RI 02906-5139 Ph: (401) 573-9905 |
NPI Number | 1114378098 |
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Provider Enumeration Date | 06/22/2016 |
Last Update Date | 06/22/2016 |
Medicare PECOS PAC ID | 3779871082 |
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Medicare Enrollment ID | O20161019000478 |
Identifier | Type | State | Issuer |
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1114378098 | NPI | - | NPPES |
Provider Name | Angela S Rudner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831408558 PECOS PAC ID: 7517111651 Enrollment ID: I20130125000315 |
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