| East Bay Psychological Services Llc | |
|
513 Broadway Newport RI 02840-1471 | |
| (303) 995-1188 | |
| Not Available |
| Full Name | East Bay Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 513 Broadway, Newport, Rhode Island |
| Authorized Official Name and Position | Mark E. Kilmer (OWNER) |
| Authorized Official Contact | 3039951188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Psychological Services Llc 513 Broadway Newport RI 02840-1471 Ph: (303) 995-1188 | East Bay Psychological Services Llc 513 Broadway Newport RI 02840-1471 Ph: (303) 995-1188 |
| NPI Number | 1790662732 |
|---|---|
| Provider Enumeration Date | 08/20/2025 |
| Last Update Date | 08/26/2025 |
| Certification Date | 08/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790662732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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