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NORTHERN R I REHAB MANAGEMENT ASSOCIATES LP

Clinical Neuropsychologist

N Smithfield, Rhode Island

Provider NPI: 1578885224

Organization Information:
Organization Name:  NORTHERN R I REHAB MANAGEMENT ASSOCIATES LP
Organization is not Subpart
Authorized Official:  RICHARD R CHAREST  PRESIDENT & CEO  401-7694100

Practice Location:
116 EDDIE DOWLING HWY REHAB HOSPITAL OF RI N SMITHFIELD, RI 02896 US
Tel: 401-766-0800  Fax: --

Business Mailing Address:
298 ARMISTICE BLVD  PAWTUCKET, RI 02861 US
Tel: 401-723-5533  Fax: 401-723-3833

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
RIPS309
Y208100000XPhysicians
Physical Medicine & Rehabilitation
RIMD08700

Other Provider Identifiers:

IssuerNumberStateType
BLUE CHIP00400201
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS RI - Page 1



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