NPI 1043416332 · live from the CMS NPI Registry
Gerald P Champagne, Ph.D.
Psychologist, Clinical Child & Adolescent in East Greenwich, RI. National Provider Identifier 1043416332, active.
NPI record
| NPI | 1043416332 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 126 Peirce St, East Greenwich, RI 02818 |
| Practice phone | 401-885-5677 |
| Enumerated | June 22, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | ps00239 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.