John D. Daponte Mental Health Therapy | |
105 E Manning St Providence RI 02906-4309 | |
(401) 383-7647 | |
(401) 383-7647 |
Full Name | John D. Daponte Mental Health Therapy |
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Speciality | Community/behavioral Health |
Location | 105 E Manning St, Providence, Rhode Island |
Authorized Official Name and Position | John D. Daponte (OWNER) |
Authorized Official Contact | 4013837647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John D. Daponte Mental Health Therapy 23 Avon Rd Cranston RI 02905-1136 Ph: (401) 781-2466 | John D. Daponte Mental Health Therapy 105 E Manning St Providence RI 02906-4309 Ph: (401) 383-7647 |
NPI Number | 1790920668 |
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Provider Enumeration Date | 12/08/2008 |
Last Update Date | 12/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790920668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 000039MHC (Rhode Island) | Primary |
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