Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PS00200 | RI |
Y | 103TC0700X | Clinical Psychologist | PS00200 | RI |
NPI | 1003957283 |
---|---|
Provider Name | Dr. Norman Charles Dupont |
First Address | Warwick, RI 02886-7424 |
Second Address | Warwick, RI 02886-7424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1022930 | BEACON (01) | |
330382 | HARVARD PILGRIM (01) | |
6118900 | UNITED HEALTH CARE (01) | |
9009190 | (05) | RI |
91905 | BLUE CROSS (01) |