Organization
NORTHEAST BEHAVIORAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER C. PATCH PSY.D. (EXECUTIVE DIRECTOR)
(401) 808-6330
Entity
Organization
Contact information
Practice address
744 PARK AVE, SUITE 6, CRANSTON, RI 02910-2150
(401) 808-6330
(401) 808-6333
Mailing address
744 PARK AVENUE, SUITE 16, CRANSTON, RI 02910-2150
(401) 808-6330
(401) 808-6333
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
09/07/2010
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