Individual
MICHELLE D POTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHP RC
RI
01
—
292177
EI BLUE CROSS
RI
01
—
412296
EI BLUE CHIP
RI
01
—
6400144
EI UHP
RI
Enumeration date
07/20/2006
Last updated
04/02/2008
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