| Aspire Psychological Services, Llc | |
|
1130 Ten Rod Rd Ste C205d North Kingstown RI 02852-4167 | |
| (860) 888-3833 | |
| Not Available |
| Full Name | Aspire Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1130 Ten Rod Rd Ste C205d, North Kingstown, Rhode Island |
| Authorized Official Name and Position | Phillip Dang (OWNER) |
| Authorized Official Contact | 8608883833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Psychological Services, Llc 1130 Ten Rod Rd Ste C205d North Kingstown RI 02852-4167 Ph: (860) 888-3833 | Aspire Psychological Services, Llc 1130 Ten Rod Rd Ste C205d North Kingstown RI 02852-4167 Ph: (860) 888-3833 |
| NPI Number | 1114582806 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Medicare PECOS PAC ID | 4587997481 |
|---|---|
| Medicare Enrollment ID | O20190607001989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114582806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Phillip Dang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205064946 PECOS PAC ID: 9537492434 Enrollment ID: I20190607002204 |
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