NPI 1043296916 · live from the CMS NPI Registry
Robert B Breen, PhD
Psychologist, Clinical in Providence, RI. National Provider Identifier 1043296916, active.
NPI record
| NPI | 1043296916 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 235 Plain St, Suite 501, Providence, RI 02905 |
| Practice phone | 401-444-7442 |
| Mailing address | 593 Eddy St, Apc 978, Providence, RI 02903 |
| Enumerated | December 21, 2005 |
| Last updated | January 25, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PS00753 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.