June Groden in Providence - Clinical Child & Adolescent

June Groden - NPI 1568641934

June Groden is a Clinical Child & Adolescent in Providence, Rhode Island. June Groden practices all healthcare services and medical treatments related to Clinical Child & Adolescent. 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 Child & Adolescent
Taxonomy 103Tc2200X
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
PS00320 - STATE RI PS00320 - STATE OF RI

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FAQs about June Groden

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 Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, 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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