Organization
SOUTH COUNTY CHILD & FAMILY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
I. RANDY KULMAN PH.D. (PRESIDENT)
(401) 789-1553
Entity
Organization
Contact information
Practice address
1058 KINGSTOWN RD, PEACE DALE, RI 02879-2487
(401) 789-1553
(401) 782-1313
Mailing address
1058 KINGSTOWN RD, PEACE DALE, RI 02879-2487
(401) 789-1553
(401) 782-1313
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00313
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RK02108
—
RI
Enumeration date
12/18/2006
Last updated
08/22/2020
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