Linda Cloutier, LMFT

Individual provider Active NPI Marriage & Family Therapist · North Kingstown, RI

NPI 1194883215 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1194883215
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFT00074 (RI)
Practice address
650 Ten Rod Rd Unit 13
Family Serivce of Rhode Island
North Kingstown, RI 02852-4237
Phone
(401) 331-1350
Fax
(401) 277-3366
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFT00074RIMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT00074 RI Yes

Addresses

Primary practice location

650 Ten Rod Rd Unit 13
Family Serivce of Rhode Island
North Kingstown, RI 02852-4237

Mailing address

9 Lindley Ave
North Kingstown, RI 02852-5712
Phone (401) 331-1350

Other identifiers

IdentifierTypeStateIssuer
LC34715MedicaidRI
1021740OtherNHP GROUP NUMBER

Other providers in North Kingstown, RI

All providers in North Kingstown, RI · Marriage & Family Therapist in Rhode Island

Sources for this page

Verify at the official NPI Registry.