June Groden is a Clinical in Providence, Rhode Island. June Groden practices all healthcare services and medical treatments related to Clinical. The NPI Number for June Groden is 1568641934. The last update date is 2018-08-22.
June Groden's current location address is 610 Manton Ave, Providence, Rhode Island. You can contact this provider via phone number 4012746310 and fax number 4014213280. The mailing address for June Groden is 610 Manton Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | June Groden |
|---|---|
| Address | 610 Manton Ave, Providence, Rhode Island |
| Phone Number | 4012746310 |
| Fax Number | 4014213280 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1568641934 |
|---|---|
| Provider Enumeration Date | 2007-11-01 |
| Last Updated Date | 2018-08-22 |
Provider Mailing Address Detail
| Address | 610 Manton Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29095633 |
| Phone Number | 4012746310 |
| Fax Number | 4014213280 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS00320 |
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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 |
|---|---|---|---|
| PS00320 - STATE | RI | PS00320 - STATE OF RI |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to June Groden by the Centers for Medicare & Medicaid Services?
The June Groden has been assigned the NPI (National Provider Identifier) 1568641934 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the June Groden located?
The June Groden is located at 610 Manton Ave, Providence, RI 29095633.
What is the June Groden's area of specialization and corresponding taxonomy classification?
The June Groden's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the June Groden receive the assignment of its 1568641934 from the Centers for Medicare & Medicaid Services?
The June Groden was issued its 1568641934 by the Centers for Medicare & Medicaid Services on 2007-11-01.
When was the information pertaining to June Groden most recently updated or revised?
The details related to June Groden, including its address, specialty, and other relevant information, were last updated or revised on 2018-08-22.
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