| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 9 Court Street, Bristol, Rhode Island |
| Authorized Official Name and Position | Karen J Gieseke (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4018420009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9 Court Street Bristol RI 02809 Ph: (401) 842-0009 | 9 Court Street Bristol RI 02809 Ph: (401) 842-0009 |
| NPI Number | 1134203573 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 11/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134203573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS00513 (Rhode Island) | Primary |
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