South County Child & Family Consultants | |
1058 Kingstown Rd Peace Dale RI 02879-2487 | |
(401) 789-1553 | |
(401) 782-1313 |
Full Name | South County Child & Family Consultants |
---|---|
Speciality | Psychologist - Clinical |
Location | 1058 Kingstown Rd, Peace Dale, Rhode Island |
Authorized Official Name and Position | I. Randy Kulman (PRESIDENT) |
Authorized Official Contact | 4017891553 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South County Child & Family Consultants 1058 Kingstown Rd Peace Dale RI 02879-2487 Ph: (401) 789-1553 | South County Child & Family Consultants 1058 Kingstown Rd Peace Dale RI 02879-2487 Ph: (401) 789-1553 |
NPI Number | 1467515957 |
---|---|
Provider Enumeration Date | 12/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467515957 | NPI | - | NPPES |
RK02108 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS00313 (Rhode Island) | Primary |
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