Organization
PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH A. FALCO (OFFICE MANAGER)
(401) 821-4100
Entity
Organization
Contact information
Practice address
889 CENTERVILLE RD, WARWICK, RI 02886-4342
(401) 821-4100
(401) 823-9180
Mailing address
889 CENTERVILLE RD, WARWICK, RI 02886-4342
(401) 821-4100
(401) 823-9180
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00125
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308329
MANAGED HEALTHNETWORK
RI
01
—
BCG0000851-001
RI BLUECROSS GROUP#
RI
Enumeration date
05/28/2006
Last updated
08/22/2020
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