Organization · NPI-2

Anderson-Squires, LLC

Psychologist, Clinical · Warwick, RI

NPI number1053740035
StatusActive
Last updated in NPPESApr 29, 2017

Details

NPI
1053740035
Entity type
Organization (NPI-2)
Legal business name
Anderson-Squires, LLC
Organization subpart
No
Enumeration date
Nov 11, 2013
Last updated
Apr 29, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPS00980RIYes
1041C0700X Social Worker, ClinicalCSW01370RI

Practice location

875 Centerville Rd
Unit 2
Warwick, RI 02886-4381

Phone 401-474-3595

Mailing address

Po Box 367
Wakefield, RI 02880-0367

Phone 401-474-3595

Authorized official

Daniel Squires
Clinical Psychologist; Co-Owner
4014744004

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