| Julia Loup, | |
|
297 Norwood Ave, Cranston, RI 02905-2711 | |
| (443) 848-3979 | |
| Not Available |
| Full Name | Julia Loup |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 2 Years |
| Location | 297 Norwood Ave, Cranston, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508656604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS02383 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifespan Physician Group Inc | 2567455082 | 1151 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Loup, 164 Summit Ave, Providence, RI 02906-2853 Ph: (443) 848-3979 | Julia Loup, 297 Norwood Ave, Cranston, RI 02905-2711 Ph: (443) 848-3979 |
Danielle Elizabeth White, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27 Midland Dr, Cranston, RI 02920 Phone: 401-580-0208 |
Samantha A. Kirk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 84 Bartlett Ave, Cranston, RI 02905 Phone: 401-243-7044 Fax: 401-842-0360 |
Amy Sisson, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 935 Park Avenue, Cranston, RI 02910 Phone: 401-781-4380 |
Frank Joseph Gallo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 8592, Cranston, RI 02920 Phone: 401-594-9010 |
Abigail K. Mansfield Marcaccio, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1170 Pontiac Ave Ste 100, Cranston, RI 02920 Phone: 401-343-4343 |
Dr. Lisa Weyandt, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1170 Pontiac Ave Ste 100, Cranston, RI 02920 Phone: 401-343-4343 Fax: 401-296-3995 |
Ann K Adler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 37 Rolfe Sq Fl 2, Cranston, RI 02910 Phone: 401-714-6109 Fax: 401-287-8766 |