| Anderson-squires, Llc | |
|
875 Centerville Rd Unit 2 Warwick RI 02886-4381 | |
| (401) 474-3595 | |
| Not Available |
| Full Name | Anderson-squires, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 875 Centerville Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Daniel Squires (CLINICAL PSYCHOLOGIST; CO-OWNER) |
| Authorized Official Contact | 4014744004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson-squires, Llc Po Box 367 Wakefield RI 02880-0367 Ph: (401) 474-3595 | Anderson-squires, Llc 875 Centerville Rd Unit 2 Warwick RI 02886-4381 Ph: (401) 474-3595 |
| NPI Number | 1053740035 |
|---|---|
| Provider Enumeration Date | 11/11/2013 |
| Last Update Date | 04/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053740035 | NPI | - | NPPES |
| 1902961642 | Other | RI | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS00980 (Rhode Island) | Primary |
| 1041C0700X | Social Worker - Clinical | CSW01370 (Rhode Island) | Secondary |
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