Ms Elaine K Walen, MS, MA, PSYD | |
1170 Pontiac Ave, Cranston, RI 02920-7944 | |
(401) 500-0424 | |
Not Available |
Full Name | Ms Elaine K Walen |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 1170 Pontiac Ave, Cranston, 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 |
---|---|---|---|
1396152898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS02033 (Rhode Island) | Primary |
Entity Name | South County Psychiatry Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003454034 PECOS PAC ID: 4880021658 Enrollment ID: O20200218000767 |
Mailing Address | Practice Location Address |
---|---|
Ms Elaine K Walen, MS, MA, PSYD 420 Scrabbletown Rd Ste A, North Kingstown, RI 02852-3638 Ph: (401) 268-5333 | Ms Elaine K Walen, MS, MA, PSYD 1170 Pontiac Ave, Cranston, RI 02920-7944 Ph: (401) 500-0424 |
Danielle Elizabeth White, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27 Midland Dr, Cranston, RI 02920 Phone: 401-580-0208 | |
Samantha A. Kirk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 84 Bartlett Ave, Cranston, RI 02905 Phone: 401-243-7044 Fax: 401-842-0360 | |
Amy Sisson, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 935 Park Avenue, Cranston, RI 02910 Phone: 401-781-4380 | |
Dr. Hyun Jin Chung, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 789 Park Ave, Cranston, RI 02910 Phone: 401-421-4561 Fax: 401-243-3001 | |
Dr. Jill M Pfitzenmayer, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1090 New London Ave, Cranston, RI 02920 Phone: 401-463-5778 Fax: 401-463-3592 | |
Dr. Julia Maietta, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1170 Pontiac Ave, Cranston, RI 02920 Phone: 401-500-0424 Fax: 401-296-3998 | |
Mr. Michael Eric Schaffer, MA Psychologist Medicare: Medicare Enrolled Practice Location: 989 Reservoir Ave Ste 104, Cranston, RI 02910 Phone: 401-424-1846 |