Marygene Manansala Santa Teresa in Providence - Psychiatry
Marygene Manansala Santa Teresa - NPI 1336158344
Marygene Manansala Santa Teresa is a Psychiatry in Providence, Rhode Island. Marygene Manansala Santa Teresa practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Marygene Manansala Santa Teresa is 1336158344. The last update date is 2011-10-04.
Marygene Manansala Santa Teresa's current location address is 530 North Main Street, Providence, Rhode Island. You can contact this provider via phone number 4015280110 and fax number 4012764111. The mailing address for Marygene Manansala Santa Teresa is 530 North Main Street, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marygene Manansala Santa Teresa |
|---|---|
| Address | 530 North Main Street, Providence, Rhode Island |
| Phone Number | 4015280110 |
| Fax Number | 4012764111 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336158344 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2011-10-04 |
Provider Mailing Address Detail
| Address | 530 North Main Street |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 2904 |
| Phone Number | 4015280110 |
| Fax Number | 4012764111 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 41649 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identifier code issued to Marygene Manansala Santa Teresa by the Centers for Medicare & Medicaid Services (CMS)?
The Marygene Manansala Santa Teresa has been assigned the NPI (National Provider Identifier) 1336158344. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Marygene Manansala Santa Teresa?
The Marygene Manansala Santa Teresa is physically situated at 530 North Main Street, in the city of Providence, state of RI, with the postal code 2904.
What is Marygene Manansala Santa Teresa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marygene Manansala Santa Teresa's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
When did the Marygene Manansala Santa Teresa receive its 1336158344?
The Marygene Manansala Santa Teresa was issued its 1336158344 on 2006-08-07, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Marygene Manansala Santa Teresa most recently updated or revised?
The details related to Marygene Manansala Santa Teresa, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-04.
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