| Providence Psychotherapy Clinic Inc | |
|
280 Broadway Lowr Level Providence RI 02903-3007 | |
| (401) 229-9696 | |
| (401) 765-2431 |
| Full Name | Providence Psychotherapy Clinic Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 280 Broadway Lowr Level, Providence, Rhode Island |
| Authorized Official Name and Position | Quinn Flatley Wright (PRACTICE OWNER) |
| Authorized Official Contact | 4012299696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Psychotherapy Clinic Inc 280 Broadway Lowr Level Providence RI 02903-3007 Ph: () - | Providence Psychotherapy Clinic Inc 280 Broadway Lowr Level Providence RI 02903-3007 Ph: (401) 229-9696 |
| NPI Number | 1083233423 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083233423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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