Deffely, Paul C.

Deffely, Paul C. is an individual health care provider with primary practice located at 530 N Main St , Providence RI 02904-5762. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Deffely, Paul C. can be contacted via phone (401) 274-2500.

Contact Information

Primary practice address
530 N Main St Providence RI 02904-5762
Phone: (401) 274-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT00050 Rhode Island

Profile Details

NPI number 1154341113
LBN Legal business name Deffely, Paul C.
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 27th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154341113 NPPES
Rhode Island MEDICAID PD41386
Rhode Island Other 30020-5
Rhode Island Other 1104847946
Rhode Island Other 62-56969
Rhode Island Other 408911

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