| Northeast Behavioral Associates | |
|
744 Park Ave Suite 6 Cranston RI 02910-2150 | |
| (401) 808-6330 | |
| (401) 808-6333 |
| Full Name | Northeast Behavioral Associates |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 744 Park Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Peter C. Patch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4018086330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Behavioral Associates 744 Park Avenue Suite 16 Cranston RI 02910-2150 Ph: (401) 808-6330 | Northeast Behavioral Associates 744 Park Ave Suite 6 Cranston RI 02910-2150 Ph: (401) 808-6330 |
| NPI Number | 1659382315 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 09/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659382315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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