Susanne G. Defedele in Lincoln - Psychiatric/mental Health, Child & Adolescent
Susanne G. Defedele - NPI 1952484545
Susanne G. Defedele is a Psychiatric/mental Health, Child & Adolescent in Lincoln, Rhode Island. Susanne G. Defedele practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Susanne G. Defedele is 1952484545. The last update date is 2007-07-08.
Susanne G. Defedele's current location address is 101 Higginson Ave, Lincoln, Rhode Island. You can contact this provider via phone number 4017237007. The mailing address for Susanne G. Defedele is 101 Higginson Ave, Lincoln, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanne G. Defedele |
|---|---|
| Address | 101 Higginson Ave, Lincoln, Rhode Island |
| Phone Number | 4017237007 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PCNS |
NPI Number Detail
| NPI Number | 1952484545 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 101 Higginson Ave |
|---|---|
| City | Lincoln |
| State | Rhode Island (RI) |
| Post Code | 28652732 |
| Phone Number | 4017237007 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Child & Adolescent |
|---|---|
| Taxonomy | 364Sp0807X |
| Licence No | PPNS00002 |
|
Definition: A psychiatric clinical nurse specialist expert in caring for infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 411680 | RI | BLUE CHIP OF RI | |
| 27266-5 | RI | BCBS OF RI | |
| SD51376 | RI | -- |
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What is the Susanne G. Defedele's unique identification number?
The Susanne G. Defedele has been assigned the NPI (National Provider Identifier) Number 1952484545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Susanne G. Defedele located?
The Susanne G. Defedele is located at 101 Higginson Ave, Lincoln, RI 28652732.
What is Susanne G. Defedele's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susanne G. Defedele's specialized field of practice is Psychiatric/mental Health, Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 364Sp0807X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952484545 to Susanne G. Defedele?
The Centers for Medicare & Medicaid Services originally issued the 1952484545 to Susanne G. Defedele on 2006-10-24.
When was the information related to Susanne G. Defedele most recently updated or refreshed?
The details pertaining to the Susanne G. Defedele, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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