| Shauna E. Summers, Ph.d., Llc | |
|
31 Harvard Ave Warwick RI 02889-2115 | |
| (401) 644-7417 | |
| (877) 603-8031 |
| Full Name | Shauna E. Summers, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 31 Harvard Ave, Warwick, Rhode Island |
| Authorized Official Name and Position | Shauna E. Summers (PRESIDENT) |
| Authorized Official Contact | 4016447417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shauna E. Summers, Ph.d., Llc 31 Harvard Ave Warwick RI 02889-2115 Ph: (401) 644-7417 | Shauna E. Summers, Ph.d., Llc 31 Harvard Ave Warwick RI 02889-2115 Ph: (401) 644-7417 |
| NPI Number | 1578190831 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 05/05/2024 |
| Certification Date | 05/05/2024 |
| Medicare PECOS PAC ID | 6608297494 |
|---|---|
| Medicare Enrollment ID | O20200603001403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578190831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Shauna E. Summers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467619544 PECOS PAC ID: 7416260229 Enrollment ID: I20200603001507 |
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