| Braver | |
|
1275 Wampanoag Trl Ste 3c Riverside RI 02915-1217 | |
| (401) 206-0304 | |
| (401) 343-6466 |
| Full Name | Braver |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1275 Wampanoag Trl Ste 3c, Riverside, Rhode Island |
| Authorized Official Name and Position | Brady Case (MEMBER) |
| Authorized Official Contact | 9176972890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braver 67 Bay Rd Barrington RI 02806-4751 Ph: (917) 697-2890 | Braver 1275 Wampanoag Trl Ste 3c Riverside RI 02915-1217 Ph: (401) 206-0304 |
| NPI Number | 1972265536 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 11/20/2022 |
| Certification Date | 11/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972265536 | NPI | - | NPPES |
| PS01333 | Other | RI | PSYCHOLOGIST LICENSE |
| PS00846 | Other | RI | PSYCHOLOGIST LICENSE |
| MD12323 | Other | RI | MEDICAL LICENSE |
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