Whalio Doctors

NPI 1043416332

Gerald P Champagne, PHD

Practitioner Clinical Child & Adolescent Psychologist East Greenwich, RI

Practice location

Address
126 Peirce St, East Greenwich, RI 02818-3833
Phone
(401) 885-5677
Fax
(401) 886-0693

Registered specialties

Clinical Child & Adolescent Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence PS00239 (RI)

Registry record

NPI
1043416332
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jun 2007
Record last updated
8 Jul 2007

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.