Organization
OPTUM BEHAVIORAL CARE OF CONNECTICUT, P.C.
Active
Other names
RICBT Rhode Island
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DUPUY (PRESIDENT / SECRETARY / TREASURER)
(952) 246-4564
Entity
Organization
Contact information
Practice address
400 MASSASOIT AVE STE 305, EAST PROVIDENCE, RI 02914-2012
(401) 294-0451
Mailing address
67 BURNSIDE AVE, EAST HARTFORD, CT 06108-3408
(952) 246-4564
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
12/07/2023
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