Organization
ANDERSON-SQUIRES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SQUIRES PHD, MPH (CLINICAL PSYCHOLOGIST; CO-OWNER)
(401) 474-4004
Entity
Organization
Contact information
Practice address
875 CENTERVILLE RD, UNIT 2, WARWICK, RI 02886-4381
(401) 474-3595
Mailing address
PO BOX 367, WAKEFIELD, RI 02880-0367
(401) 474-3595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00980
RI
1041C0700X
Clinical Social Worker
CSW01370
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902961642
TYPE 1 NPI
RI
Enumeration date
11/11/2013
Last updated
04/29/2017
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