1881629608 NPI number — MRS. CORA BRIGID MAYER LMHC

Table of content: COLLEEN PATRICIA FRANK PA-C (NPI 1558123430)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881629608 NPI number — MRS. CORA BRIGID MAYER LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAYER
Provider First Name:
CORA
Provider Middle Name:
BRIGID
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881629608
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
366 SNAKE HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARRISVILLE
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02830-1872
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-568-0152
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
623 ATWELLS AVE.
Provider Second Line Business Practice Location Address:
COMMUNITIES FOR PEOPLE, INC.
Provider Business Practice Location Address City Name:
PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-273-7103
Provider Business Practice Location Address Fax Number:
401-421-4608
Provider Enumeration Date:
07/11/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  00219 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)