Individual
MR. PETER RAYMOND ROSSI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LMFT
Contact information
Practice address
24 SALT POND RD, SOUTH KINGSTOWN OFFICE PARK, H6, WAKEFIELD, RI 02879-4314
(401) 782-2886
(401) 782-2886
Mailing address
24 SALT POND RD, SOUTH KINGSTOWN OFFICE PARK, H6, WAKEFIELD, RI 02879-4314
(401) 782-2886
(401) 782-2886
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000101
RI
106H00000X
Marriage & Family Therapist
001053
CT
Other
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
Enumeration date
01/05/2007
Last updated
07/08/2007
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