Institute for Behavioral Medicine
NPI #1649636416 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1649636416
- Entity Type
- Organization
- Organization Name
- Institute for Behavioral Medicine
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jan 11, 2016
- Last Updated
- Jan 11, 2016
Practice Location
- Address
- 1210 PONTIAC AVE
- Address 2
- 3RD FLOOR
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02920-4490
- Phone
- (401) 467-2223
Authorized Official
- Name
- DR. MICHAEL J FOLLICK, PH.D.
- Title
- PRESIDENT
- Phone
- (401) 467-2223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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