South County Behavioral Medicine INC
NPI #1255592044 in Wakefield, Rhode Island
Provider Information
- NPI Number
- 1255592044
- Entity Type
- Organization
- Organization Name
- South County Behavioral Medicine INC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jun 24, 2008
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 24 SALT POND RD
- Address 2
- UNIT D3
- City
- Wakefield
- State
- Rhode Island
- ZIP Code
- 02879-4314
- Phone
- (401) 789-2306
Authorized Official
- Name
- JON KIMPTON
- Title
- OWNER/ PRESIDENT
- Phone
- (401) 789-2306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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