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Individual

DAVID CHARLES GUEVREMONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
68 CUMBERLAND ST, SUITE 102, WOONSOCKET, RI 02895-3323
(401) 356-1940
(401) 356-1949
Mailing address
68 CUMBERLAND ST, SUITE 102, WOONSOCKET, RI 02895-3323
(401) 356-1940
(401) 356-1949

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS00517
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
292748
BLUE CROSS BLUE SHIELD
RI
01
412291
BLUE CHIP
RI
01
467909
TUFTS
RI
01
6126902
UNITED HEALTH CARE
RI
05
DG03637
RI
Enumeration date
06/02/2006
Last updated
12/26/2007
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