Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PS01465 | RI |
N | 103TC0700X | Clinical Psychologist | PS01465 | RI |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1043430549 |
---|---|
Provider Name | Dr. Julio E Sabater |
First Address | Providence, RI 02940-1208 |
Second Address | Pawtucket, RI 02860-4026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 15/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043430549 | (05) | RI |
1043430549 | UBH (01) | RI |
1346615614 | SABATERLAB NPI (01) | RI |