David Lichtenstein, PHD | |
1011 Veterans Memorial Pkwy, Riverside, RI 02915-5099 | |
(401) 432-1000 | |
Not Available |
Full Name | David Lichtenstein |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 1011 Veterans Memorial Pkwy, Riverside, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043892649 | NPI | - | NPPES |
001135 | Other | RI | RHODE ISLAND DEPARTMENT OF HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 001135 (Rhode Island) | Secondary |
103T00000X | Psychologist | PS01135 (Rhode Island) | Primary |
Entity Name | Emma Pendleton Bradley Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082 |
Entity Name | Lifespan Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
Mailing Address | Practice Location Address |
---|---|
David Lichtenstein, PHD 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5099 Ph: (401) 432-1000 | David Lichtenstein, PHD 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5099 Ph: (401) 432-1000 |
Dr. Vamsi C Tummalachetty, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 | |
Dr. Andrea Lillian Gold, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500 | |
Kathryn A Simon, Psychologist Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 | |
Bryana Elizabeth Killion, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1618 | |
Dr. Lisa Faille, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2 Village Grn N Apt C, Riverside, RI 02915 Phone: 401-481-1914 | |
James Andrew Brcak, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500 |