| Gladys V Rezendes Inc. | |
|
390 Broadway Providence RI 02909 | |
| (401) 621-5882 | |
| (401) 621-8463 |
| Full Name | Gladys V Rezendes Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 390 Broadway, Providence, Rhode Island |
| Authorized Official Name and Position | Gladys V Rezendes (PRESIDENT) |
| Authorized Official Contact | 4016215882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gladys V Rezendes Inc. 390 Broadway Providence RI 02909 Ph: (401) 621-5882 | Gladys V Rezendes Inc. 390 Broadway Providence RI 02909 Ph: (401) 621-5882 |
| NPI Number | 1124321104 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124321104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | ISW00425 (Rhode Island) | Primary |
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