NPI 1316596547 · live from the CMS NPI Registry
Jason Domenic Dollard, MFT
Marriage & Family Therapist in Providence, RI. National Provider Identifier 1316596547, active.
NPI record
| NPI | 1316596547 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 178 Broadway, Providence, RI 02903 |
| Practice phone | 401-525-6111 |
| Enumerated | September 10, 2019 |
| Last updated | September 10, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.