# MR. PETER RAYMOND ROSSI JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336297639
- **Gender:** Man
- **Credential:** M.S., LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 000101 | RI | Yes |
| 106H00000X | Marriage & Family Therapist | 001053 | CT | — |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1037320 | BEACON-NEIGHBORHOOD \# | RI |
| 01 | — | 27753-0 | BCBSRI PROVIDER \# | RI |
| 01 | — | 411768 | BCBSRI - BLUE CHIP \# | RI |
| 01 | — | PR62742 | RI MED ASSISTANCE \# | RI |