Generativity Llc | |
169 Spencer Ave East Greenwich RI 02818-4013 | |
(617) 312-5305 | |
Not Available |
Full Name | Generativity Llc |
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Speciality | Psychologist |
Location | 169 Spencer Ave, East Greenwich, Rhode Island |
Authorized Official Name and Position | William Paul Macaux (PRINCIPAL) |
Authorized Official Contact | 6173125305 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Generativity Llc 169 Spencer Ave East Greenwich RI 02818-4013 Ph: () - | Generativity Llc 169 Spencer Ave East Greenwich RI 02818-4013 Ph: (617) 312-5305 |
NPI Number | 1598053670 |
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Provider Enumeration Date | 07/11/2011 |
Last Update Date | 07/11/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598053670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS00876 (Rhode Island) | Primary |
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