| Psychologists At Jefferson Gateway, Llc | |
|
931 Jefferson Blvd Suite 2009 Warwick RI 02886-2234 | |
| (401) 921-5400 | |
| (401) 921-5402 |
| Full Name | Psychologists At Jefferson Gateway, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 931 Jefferson Blvd, Warwick, Rhode Island |
| Authorized Official Name and Position | Cecilia Maria Duarte (PSYCHOLOGIST) |
| Authorized Official Contact | 4019215400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychologists At Jefferson Gateway, Llc 931 Jefferson Blvd Suite 2009 Warwick RI 02886-2234 Ph: (401) 921-5400 | Psychologists At Jefferson Gateway, Llc 931 Jefferson Blvd Suite 2009 Warwick RI 02886-2234 Ph: (401) 921-5400 |
| NPI Number | 1952622953 |
|---|---|
| Provider Enumeration Date | 06/14/2010 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952622953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS01162 (Rhode Island) | Primary |
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