NPI 1689935447 · live from the CMS NPI Registry
L. Cinnamon Bidwell, Ph.D.
Psychologist, Clinical Child & Adolescent in Providence, RI. National Provider Identifier 1689935447, active.
NPI record
| NPI | 1689935447 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 1 Hoppin St, Suite 204, Providence, RI 02903 |
| Practice phone | 401-444-8945 |
| Mailing address | 593 Eddy St, Potter 3, Providence, RI 02903 |
| Enumerated | June 7, 2012 |
| Last updated | June 26, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | PS01292 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.