Shauna E. Summers, Ph.d., Llc | |
250 Wampanoag Trl Ste 303 Riverside RI 02915-2217 | |
(401) 644-7417 | |
Not Available |
Full Name | Shauna E. Summers, Ph.d., Llc |
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Speciality | Community/Behavioral Health |
Location | 250 Wampanoag Trl Ste 303, Riverside, Rhode Island |
Authorized Official Name and Position | Shauna E. Summers (PRESIDENT) |
Authorized Official Contact | 4016447417 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shauna E. Summers, Ph.d., Llc 250 Wampanoag Trl Ste 303 Riverside RI 02915-2217 Ph: (401) 644-7417 | Shauna E. Summers, Ph.d., Llc 250 Wampanoag Trl Ste 303 Riverside RI 02915-2217 Ph: (401) 644-7417 |
NPI Number | 1578190831 |
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Provider Enumeration Date | 03/26/2020 |
Last Update Date | 03/26/2020 |
Certification Date | 03/26/2020 |
Medicare PECOS PAC ID | 6608297494 |
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Medicare Enrollment ID | O20200603001403 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578190831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Shauna E. Summers |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1467619544 PECOS PAC ID: 7416260229 Enrollment ID: I20200603001507 |
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