Organization
EAST SIDE PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ROBIN SHER MSW, LICSW (PRESIDENT)
(401) 263-2722
Entity
Organization
Contact information
Practice address
205 WATERMAN ST # 201, PROVIDENCE, RI 02906-4313
(401) 263-2272
Mailing address
205 WATERMAN ST # 201, PROVIDENCE, RI 02906-4313
(401) 263-2272
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ES72810
—
MA
Enumeration date
10/28/2020
Last updated
10/28/2020
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