Susan Dickstein in East Providence - Clinical
Susan Dickstein - NPI 1104869635
Susan Dickstein is a Clinical in East Providence, Rhode Island. Susan Dickstein practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Dickstein is 1104869635. The last update date is 2007-07-08.
Susan Dickstein's current location address is 1011 Veterans Memorial Pkwy, East Providence, Rhode Island. You can contact this provider via phone number 4017938731 and fax number 4014321500. The mailing address for Susan Dickstein is 1011 Veterans Memorial Pkwy, East Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Dickstein |
|---|---|
| Address | 1011 Veterans Memorial Pkwy, East Providence, Rhode Island |
| Phone Number | 4017938731 |
| Fax Number | 4014321500 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1104869635 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1011 Veterans Memorial Pkwy |
|---|---|
| City | East Providence |
| State | Rhode Island (RI) |
| Post Code | 29155061 |
| Phone Number | 4017938731 |
| Fax Number | 4014321500 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS00463 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 406326 | RI | BLUE CHIP | |
| 61-15830 | RI | UNITED BEHAVIORAL HEALTH | |
| 30175-2 | RI | BLUE CROSS | |
| SD10788 | RI | -- |
Post Comment/ Review Below
What is the Susan Dickstein's 1104869635?
The Susan Dickstein's NPI (National Provider Identifier) Number is 1104869635. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan Dickstein's facilities are situated?
The facilities of Susan Dickstein are physically located at the following address: 1011 Veterans Memorial Pkwy, East Providence, RI, 29155061.
What is Susan Dickstein's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Dickstein is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104869635 to Susan Dickstein?
The Susan Dickstein received its 1104869635 assignment from the Centers for Medicare & Medicaid Services on 2006-06-13.
When was the information regarding Susan Dickstein, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan Dickstein, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.