Mr Brandon A Gaudiano, PHD | |
345 Blackstone Blvd, Butler Hospital, Psychosocial Research Program, Providence, RI 02906-4800 | |
(401) 455-6457 | |
Not Available |
Full Name | Mr Brandon A Gaudiano |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 345 Blackstone Blvd, Providence, 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 |
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1831359009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PS01009 (Rhode Island) | Primary |
Entity Name | Affinity Physicians Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053 |
Mailing Address | Practice Location Address |
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Mr Brandon A Gaudiano, PHD 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 738-7015 | Mr Brandon A Gaudiano, PHD 345 Blackstone Blvd, Butler Hospital, Psychosocial Research Program, Providence, RI 02906-4800 Ph: (401) 455-6457 |
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 |