Active NPIIndividual provider

Susan Dickstein, PHD

Psychologist, Clinical in East Providence, Rhode Island

NPI Number1104869635
Practice location
1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061
Fax
401-432-1500
Last updated
July 8, 2007

Susan Dickstein is a Psychologist, Clinical based in East Providence, RI. Susan Dickstein practices in East Providence, RI and has the professional credentials of PHD. The NPI Number for Susan Dickstein is 1104869635 and holds a License No. PS00463 (RI). The current practice location address for Susan Dickstein is 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 and can be reached out via phone at 401-793-8731 and via fax at 401-432-1500.

Provider Profile Details

NPI Number
1104869635
Provider Name
Susan Dickstein
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061
Phone Number
401-793-8731
Fax Number
401-432-1500
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
Zip
02915-5061
Phone Number
401-793-8731
Fax Number
401-432-1500
East Providence, RI 02915Get directions →

Provider Business Mailing Address Details

Address
1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
City
East Providence
State
RI
Zip
02915-5061
Phone Number
401-793-8731
Fax Number
401-432-1500

License Information

License Number
PS00463
License State
RI
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan Dickstein, PHD?

The NPI number of Susan Dickstein, PHD is 1104869635. It was assigned on June 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan Dickstein, PHD?

Susan Dickstein, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number PS00463.

Where does Susan Dickstein, PHD practice?

The practice location is 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061. The office can be reached at 401-793-8731 (phone) or 401-432-1500 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104869635 directly on the NPPES registry website.

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