Cable Consultation And Therapy Services, Llc | |
3 Phillips St Providence RI 02906-2420 | |
(401) 632-0739 | |
(401) 831-0661 |
Full Name | Cable Consultation And Therapy Services, Llc |
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Speciality | Clinic/Center |
Location | 3 Phillips St, Providence, Rhode Island |
Authorized Official Name and Position | Betsy Singer Cable (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 4016320739 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cable Consultation And Therapy Services, Llc 3 Phillips St Providence RI 02906-2420 Ph: (401) 632-0739 | Cable Consultation And Therapy Services, Llc 3 Phillips St Providence RI 02906-2420 Ph: (401) 632-0739 |
NPI Number | 1033616784 |
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Provider Enumeration Date | 04/10/2018 |
Last Update Date | 04/10/2018 |
Medicare PECOS PAC ID | 0143575969 |
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Medicare Enrollment ID | O20180620000167 |
Identifier | Type | State | Issuer |
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1033616784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Provider Name | Robert Cable |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1962554717 PECOS PAC ID: 9335245356 Enrollment ID: I20070507000660 |
Provider Name | Betsy A Singer Cable |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699934919 PECOS PAC ID: 6305982802 Enrollment ID: I20091014000594 |
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