Delta Consultants Providence/attle Inc. | |
2 Regency Plz Suite 12 Providence RI 02903-3160 | |
(401) 421-1405 | |
(401) 331-8223 |
Full Name | Delta Consultants Providence/attle Inc. |
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Speciality | Psychologist - Clinical Child & Adolescent |
Location | 2 Regency Plz, Providence, Rhode Island |
Authorized Official Name and Position | Richard Solomon (CLINICAL DIRECTOR) |
Authorized Official Contact | 4014211405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Delta Consultants Providence/attle Inc. 2 Regency Plz Suite 12 Providence RI 02903-3160 Ph: (401) 421-1405 | Delta Consultants Providence/attle Inc. 2 Regency Plz Suite 12 Providence RI 02903-3160 Ph: (401) 421-1405 |
NPI Number | 1720311202 |
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Provider Enumeration Date | 09/15/2009 |
Last Update Date | 09/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720311202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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