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1200 Hartford Ave Ste 3b Johnston RI 02919-7143 | |
(401) 263-0778 | |
Not Available |
Full Name | |
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Speciality | Psychologist - Clinical |
Location | 1200 Hartford Ave Ste 3b, Johnston, Rhode Island |
Authorized Official Name and Position | Frank Luders Paul (THERAPIST) |
Authorized Official Contact | 4012630778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1200 Hartford Ave Ste 3b Johnston RI 02919-7143 Ph: (401) 263-0778 | 1200 Hartford Ave Ste 3b Johnston RI 02919-7143 Ph: (401) 263-0778 |
NPI Number | 1710702204 |
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Provider Enumeration Date | 11/19/2024 |
Last Update Date | 12/06/2024 |
Certification Date | 12/06/2024 |
Identifier | Type | State | Issuer |
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1710702204 | NPI | - | NPPES |
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