NPI 1487257523 · live from the CMS NPI Registry
Lisandra Dju
Marriage & Family Therapist in Providence, RI. National Provider Identifier 1487257523, active.
NPI record
| NPI | 1487257523 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 55 Hope St, Providence, RI 02906 |
| Practice phone | 401-331-1350 |
| Mailing address | 63 Bristol Ave, Pawtucket, RI 02861 |
| Enumerated | November 20, 2020 |
| Last updated | November 20, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT00218 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.