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Individual
DAVID CHARLES GUEVREMONT
Active
Individual
DAVID CHARLES GUEVREMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS00517
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292748
BLUE CROSS BLUE SHIELD
RI
01
—
412291
BLUE CHIP
RI
01
—
467909
TUFTS
RI
01
—
6126902
UNITED HEALTH CARE
RI
05
—
DG03637
—
RI
Enumeration date
06/02/2006
Last updated
12/26/2007
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