NPI 1154341113 · live from the CMS NPI Registry
Paul C. Deffely, LMFT
Marriage & Family Therapist in Providence, RI. National Provider Identifier 1154341113, active.
NPI record
| NPI | 1154341113 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 530 N Main St, Providence, RI 02904 |
| Practice phone | 401-274-2500 |
| Mailing address | 528 N Main St, Providence, RI 02904 |
| Enumerated | July 20, 2006 |
| Last updated | March 27, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT00050 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.