Dr. Ellen M Costello, PHD
Psychologist in Providence, Rhode Island
1538252341- Practice location
- 345 Blackstone Blvd, Providence, RI 02906-4800
- Phone
- 401-455-6416
- Fax
- 401-455-6293
- Last updated
- July 8, 2007
Ellen M. Costello is a Psychologist based in Providence, RI. Ellen M. Costello practices in Providence, RI and has the professional credentials of PHD. The NPI Number for Ellen M. Costello is 1538252341 and holds a License No. PS00412 (RI). The current practice location address for Ellen M. Costello is 345 Blackstone Blvd, Providence, RI 02906-4800 and can be reached out via phone at 401-455-6416 and via fax at 401-455-6293.
Provider Profile Details
- NPI Number
- 1538252341
- Provider Name
- Ellen M. Costello
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 345 Blackstone Blvd, Providence, RI 02906-4800
- Phone Number
- 401-455-6416
- Fax Number
- 401-455-6293
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 2, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 345 Blackstone Blvd
Providence, RI 02906-4800 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-4800
- Phone Number
- 401-455-6416
- Fax Number
- 401-455-6293
Provider Business Mailing Address Details
- Address
- 345 Blackstone Blvd
Providence, RI 02906-4800 - City
- Providence
- State
- RI
- Zip
- 02906-4800
- Phone Number
- 401-455-6416
- Fax Number
- 401-455-6293
License Information
- License Number
- PS00412
- License State
- RI
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Ellen M Costello, PHD?
The NPI number of Dr. Ellen M Costello, PHD is 1538252341. It was assigned on October 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Ellen M Costello, PHD?
Dr. Ellen M Costello, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in RI under license number PS00412.
Where does Dr. Ellen M Costello, PHD practice?
The practice location is 345 Blackstone Blvd, Providence, RI 02906-4800. The office can be reached at 401-455-6416 (phone) or 401-455-6293 (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 1538252341 directly on the NPPES registry website.