Valletta, Deborah
Valletta, Deborah is an individual health care provider with primary practice located at 1045 Warwick Ave Ste 101, Warwick RI 02888-3657. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Valletta, Deborah can be contacted via phone (401) 465-2670.Contact Information
Primary practice address
1045 Warwick Ave Ste 101
Warwick RI 02888-3657
Phone: (401) 465-2670
Fax: (401) 270-0660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDP00143 | Rhode Island |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01009 | Rhode Island |
Profile Details
| NPI number | 1174650576 |
|---|---|
| LBN Legal business name | Valletta, Deborah |
| Credentials | LICSW, LCDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jan 5th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174650576 | NPPES |
| Other | 212611000 | MAGELLAN | |
| Other | 158131 | MAGELLAN | |
| MEDICAID | DV26989 | MAGELLAN | |
| Other | 30309-1 | MAGELLAN | |
| Other | 406298 | MAGELLAN |
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