Individual
SHEILA L DANDENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPED
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
NHPRC
RI
01
—
29217-7
BLUE CROSS
RI
01
—
412296
BLUE CHIP
RI
01
—
64000144
UNITED
RI
Enumeration date
03/10/2008
Last updated
03/10/2008
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