1720257538 NPI number — STEPHANIE DONALDSON PRESSMAN LICSW

Table of content: STEPHANIE DONALDSON PRESSMAN LICSW (NPI 1720257538)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720257538 NPI number — STEPHANIE DONALDSON PRESSMAN LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRESSMAN
Provider First Name:
STEPHANIE
Provider Middle Name:
DONALDSON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DONALDSON-PRESSMAN
Provider Other First Name:
STEPHANIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LICSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1720257538
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 REGENCY PLZ
Provider Second Line Business Mailing Address:
SUITE 1001
Provider Business Mailing Address City Name:
PROVIDENCE
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02903-3158
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-743-7148
Provider Business Mailing Address Fax Number:
401-453-1776

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 REGENCY PLZ
Provider Second Line Business Practice Location Address:
SUITE 1001
Provider Business Practice Location Address City Name:
PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02903-3158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-743-7148
Provider Business Practice Location Address Fax Number:
401-453-1776
Provider Enumeration Date:
02/26/2008

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: 1041C0700X , with the licence number:  ISW01897 , 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)





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