NPI 1659382315
Northeast Behavioral Associates
Practice location
- Address
- 744 Park Ave Suite 6, Cranston, RI 02910-2150
- Phone
- (401) 808-6330
- Fax
- (401) 808-6333
- Mailing address
- 744 Park Avenue Suite 16, Cranston, RI 02910-2150
Authorised official
- Name
- Peter C. Patch
- Title
- Executive Director
- Phone
- (401) 808-6330
Registered specialties
Clinical Child & Adolescent Psychologist
Primary
Registry record
- NPI
- 1659382315
- Entity type
- Organization
- NPI issued
- 10 Aug 2006
- Record last updated
- 7 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.