Institute For Behavioral Medicine | |
1210 Pontiac Ave 3rd Floor Cranston RI 02920-4490 | |
(401) 467-2223 | |
(401) 781-4570 |
Full Name | Institute For Behavioral Medicine |
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Speciality | Psychologist - Clinical |
Location | 1210 Pontiac Ave, Cranston, Rhode Island |
Authorized Official Name and Position | Michael J Follick (PRESIDENT) |
Authorized Official Contact | 4014672223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Institute For Behavioral Medicine 1210 Pontiac Ave 3rd Floor Cranston RI 02920-4490 Ph: (401) 467-2223 | Institute For Behavioral Medicine 1210 Pontiac Ave 3rd Floor Cranston RI 02920-4490 Ph: (401) 467-2223 |
NPI Number | 1649636416 |
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Provider Enumeration Date | 01/11/2016 |
Last Update Date | 01/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649636416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS00276 (Rhode Island) | Primary |
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