Psychiatric Physcian Consultants Of Ri Inc | |
345 Blackstone Blvd Providence RI 02906-4800 | |
(401) 421-0060 | |
(401) 421-6676 |
Full Name | Psychiatric Physcian Consultants Of Ri Inc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 345 Blackstone Blvd, Providence, Rhode Island |
Authorized Official Name and Position | Charles Brandon Qualls (PRESIDENT) |
Authorized Official Contact | 4014210060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychiatric Physcian Consultants Of Ri Inc 345 Blackstone Blvd Providence RI 02906-4800 Ph: (401) 421-0060 | Psychiatric Physcian Consultants Of Ri Inc 345 Blackstone Blvd Providence RI 02906-4800 Ph: (401) 421-0060 |
NPI Number | 1396913406 |
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Provider Enumeration Date | 02/12/2008 |
Last Update Date | 07/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396913406 | NPI | - | NPPES |
PP15721 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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