Kelley Harrison Pistacchio in North Providence - Clinical Child & Adolescent
Kelley Harrison Pistacchio - NPI 1780713735
Kelley Harrison Pistacchio is a Clinical Child & Adolescent in North Providence, Rhode Island. Kelley Harrison Pistacchio practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kelley Harrison Pistacchio is 1780713735. The last update date is 2007-07-09.
Kelley Harrison Pistacchio's current location address is 122 Jane St, North Providence, Rhode Island. You can contact this provider via phone number 4012746310 and fax number 4014211977. The mailing address for Kelley Harrison Pistacchio is 122 Jane St, North Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Harrison Pistacchio |
|---|---|
| Address | 122 Jane St, North Providence, Rhode Island |
| Phone Number | 4012746310 |
| Fax Number | 4014211977 |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1780713735 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 122 Jane St |
|---|---|
| City | North Providence |
| State | Rhode Island (RI) |
| Post Code | 29044957 |
| Phone Number | 4012746310 |
| Fax Number | 4014211977 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PS00680 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410468 | RI | BLUE CHIP | |
| KH29823 | RI | -- | |
| 30189-1 | RI | BLUE CROSS | |
| 61-00006 | RI | UNITED BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kelley Harrison Pistacchio?
The Kelley Harrison Pistacchio has been issued the NPI (National Provider Identifier) 1780713735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kelley Harrison Pistacchio is located?
The Kelley Harrison Pistacchio is situated at the following address: 122 Jane St, North Providence, RI, 29044957.
What is Kelley Harrison Pistacchio's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelley Harrison Pistacchio is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780713735 to Kelley Harrison Pistacchio?
The Centers for Medicare & Medicaid Services originally issued the 1780713735 to Kelley Harrison Pistacchio on 2007-03-05.
As of what date were the details related to Kelley Harrison Pistacchio most recently updated or revised?
The information pertaining to Kelley Harrison Pistacchio, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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