Ocean State Psychotherapy | |
1130 Ten Rod Rd North Kingstown RI 02852-4161 | |
(401) 268-3886 | |
Not Available |
Full Name | Ocean State Psychotherapy |
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Speciality | Social Worker - Clinical |
Location | 1130 Ten Rod Rd, North Kingstown, Rhode Island |
Authorized Official Name and Position | Kelley Elizabeth Gemma (CLINICAL DIRECTOR) |
Authorized Official Contact | 4012683886 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ocean State Psychotherapy 1130 Ten Rod Rd North Kingstown RI 02852-4161 Ph: (401) 268-3886 | Ocean State Psychotherapy 1130 Ten Rod Rd North Kingstown RI 02852-4161 Ph: (401) 268-3886 |
NPI Number | 1487922407 |
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Provider Enumeration Date | 12/05/2011 |
Last Update Date | 12/05/2011 |
Identifier | Type | State | Issuer |
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1487922407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | ISW01777 (Rhode Island) | Primary |
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