| Miriam Hospital | |
|
1 Hoppin St Coro Bldg., Behavioral Medicine Clinic Providence RI 02903-4141 | |
| (401) 793-8230 | |
| (401) 793-8078 |
| Full Name | Miriam Hospital |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1 Hoppin St, Providence, Rhode Island |
| Authorized Official Name and Position | Eva Greenwood (SVP, FINANCE) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Hospital 1 Hoppin St Coro Bldg., Behavioral And Preventive Medicinesuite 500 Providence RI 02903-4141 Ph: (401) 793-8230 | Miriam Hospital 1 Hoppin St Coro Bldg., Behavioral Medicine Clinic Providence RI 02903-4141 Ph: (401) 793-8230 |
| NPI Number | 1427269265 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427269265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 507 (Rhode Island) | Secondary |
| 103TC0700X | Psychologist - Clinical | 507 (Rhode Island) | Primary |
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