| Dr Ellen M Costello, PHD | |
|
345 Blackstone Blvd, Providence, RI 02906-4800 | |
| (401) 455-6416 | |
| (401) 455-6293 |
| Full Name | Dr Ellen M Costello |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 345 Blackstone Blvd, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538252341 | NPI | - | NPPES |
| 24002-0 | Other | RI | BLUE CROSS |
| 406371 | Other | RI | BLUE CHIP |
| 61-11464 | Other | RI | UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS00412 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ellen M Costello, PHD 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6416 | Dr Ellen M Costello, PHD 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6416 |
Julie Elizabeth Morris, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 146 W River St, Suite 11a, Providence, RI 02904 Phone: 401-793-8770 Fax: 401-793-8709 | |
Alexandrea L Craft, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Holden St, Providence, RI 02908 Phone: 401-453-7640 Fax: 401-453-7646 | |
Dr. Livia Freier, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38 N Court St, Providence, RI 02903 Phone: 401-484-7050 | |
Debra J Lobato-barrera, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Hoppin St, Suite 204, Providence, RI 02903 Phone: 401-444-8945 Fax: 401-444-8742 | |
Mrs. Gladys V Rezendes, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 Comstock Avenue, Providence, RI 02907 Phone: 401-621-5882 Fax: 501-621-8463 | |
Mrs. Rhonda L Sabo, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 341 Broadway, Providence, RI 02909 Phone: 401-453-5100 | |
Dr. Andrew Jonah Taytslin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Richmond Sq Ste 300e, Providence, RI 02906 Phone: 401-349-3131 |