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Organization

DR. DESANTIS & ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIELLE DESANTIS PSYD, LMFT (DOCTOR)
(401) 371-0223
Entity
Organization

Contact information

Practice address
1500 PONTIAC AVE STE 101, CRANSTON, RI 02920-4486
(401) 371-0223
(401) 464-4071
Mailing address
14 ZENITH DR, CRANSTON, RI 02920-4441
(401) 419-0627
(401) 464-4071

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LSW02386
RI
104100000X
Social Worker
LSW02451
RI
106H00000X
Marriage & Family Therapist
Primary
00144
RI
106H00000X
Marriage & Family Therapist
MFT00055
RI

Other

Enumeration date
02/02/2017
Last updated
02/02/2017
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