Marshall, Peter W.

Marshall, Peter W. is an individual health care provider with primary practice located at 1011 Veterans Memorial Pkwy , Riverside RI 02915-5061. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Marshall, Peter W. can be contacted via phone (401) 432-1284.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy Riverside RI 02915-5061
Fax: (401) 432-1509
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISWO1533 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X 111089 Massachusetts

Profile Details

NPI number 1619096898
LBN Legal business name Marshall, Peter W.
Credentials L.I.C.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Oct 13th, 2010 - about 15 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 1619096898 NPPES
Rhode Island Other ISW01533 PROFESSIONAL LICENSE
Rhode Island Other 1619096898 PROFESSIONAL LICENSE

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