Organization
VANTAGE POINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ANN CARTY PHD, MSW, LICSW (PRESIDENT)
(401) 615-0648
Entity
Organization
Contact information
Practice address
1 JAMES P MURPHY HIGHWAY, SUITE 103, WEST WARWICK, RI 02893
(401) 615-0648
(401) 615-9540
Mailing address
1 JAMES P MURPHY HIGHWAY, SUITE 103, WEST WARWICK, RI 02893
(401) 615-0648
(401) 615-9540
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
ISW01152
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20876-7
BLUE CROSS BLUE SHIELD
RI
01
—
406247
BLUE CHIP
RI
Enumeration date
12/22/2006
Last updated
08/22/2020
Update your record
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