Organization
ASSESSMENT AND CONSULTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL GALLAGHER (ADMINISTRATOR)
(401) 624-7281
Entity
Organization
Contact information
Practice address
1061 FISH RD, TIVERTON, RI 02878-3103
(401) 624-7281
(401) 624-7208
Mailing address
PO BOX 272, 1061 FISH RD, TIVERTON, RI 02878
(401) 624-7281
(401) 624-7208
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1016742
RI
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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