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Individual
PAUL C. DEFFELY
Active
Individual
PAUL C. DEFFELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT00050
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
01
—
30020-5
BLUE CROSS
RI
01
—
408911
BLUE CHIP
RI
01
—
62-56969
UNITED BEHAVIORAL HEALTH
RI
05
—
PD41386
—
RI
Enumeration date
07/20/2006
Last updated
03/27/2009
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