Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 452 | RI |
NPI | 1003066762 |
---|---|
Provider Name | Carolyn A Didonato |
First Address | Warwick, RI 02886-2711 |
Second Address | Warwick, RI 02886-2711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2008 |
Last Update Date | 30/09/2008 |