| South County Behavioral Medicine Inc | |
|
24 Salt Pond Rd Unit D3 Wakefield RI 02879-4314 | |
| (401) 789-2306 | |
| Not Available |
| Full Name | South County Behavioral Medicine Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 24 Salt Pond Rd, Wakefield, Rhode Island |
| Authorized Official Name and Position | Jon Kimpton (OWNER/ PRESIDENT) |
| Authorized Official Contact | 4017892306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Behavioral Medicine Inc Po Box 360 Wakefield RI 02880-0360 Ph: (401) 789-2306 | South County Behavioral Medicine Inc 24 Salt Pond Rd Unit D3 Wakefield RI 02879-4314 Ph: (401) 789-2306 |
| NPI Number | 1255592044 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255592044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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