Healthcare Provider Details

I. General information

NPI: 1639740632
Provider Name (Legal Business Name): HULL PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 WATER ST
WARREN RI
02885-3144
US

IV. Provider business mailing address

259 WATER ST
WARREN RI
02885-3144
US

V. Phone/Fax

Practice location:
  • Phone: 401-903-0777
  • Fax: 401-223-6364
Mailing address:
  • Phone: 401-903-0777
  • Fax: 401-223-6364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ROSE MURRIN
Title or Position: CO-OWNER
Credential: LICSW
Phone: 401-903-0777