Stephanie Ross, PHD | |
1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | |
(401) 432-1000 | |
Not Available |
Full Name | Stephanie Ross |
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Gender | Female |
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 |
---|---|---|---|
1487032728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS02277 (Rhode Island) | Primary |
Entity Name | Montefiore Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Mailing Address | Practice Location Address |
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Stephanie Ross, PHD 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 444-6779 | Stephanie Ross, PHD 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 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 | |
David Lichtenstein, PH.D. 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 |