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Individual

DR. DAVID P LACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D-LMHC

Contact information

Practice address
989 RESERVOIR AVE STE 101, CRANSTON, RI 02910-5138
(401) 572-3313
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(401) 572-3313

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00214
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1710008743
BLUE CROSS BLUE SHIELD OF RHODE ISLAND
RI
01
374867
MHN
RI
05
DL57324
RI
Enumeration date
04/03/2007
Last updated
03/10/2025
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