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NPI Code Detail

MEDICARE: LINDA CLOUTIER LMFT

MEDICARE: LINDA CLOUTIER LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFT00074RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21021740OTHERNHP GROUP NUMBER

General Provider Information

NPI Number : 1194883215
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA CLOUTIER LMFT
Provider Business Mailing Address
First Line : 9 LINDLEY AVE
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-5712
Country : US
Telephone Number : 401-331-1350
Fax Number : 401-277-3366
Provider Business Practice Location Address
First Line : 650 TEN ROD RD UNIT 13
Second Line : FAMILY SERIVCE OF RHODE ISLAND
City : NORTH KINGSTOWN
State : RI
Zip : 02852-4237
Country : US
Telephone Number : 401-331-1350
Fax Number : 401-277-3366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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Practice Location Address:
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Practice Fax: 401-277-3366

Directions to “ LINDA CLOUTIER LMFT” Practice Location

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