Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PS0181 | RI |
NPI | 1518181593 |
---|---|
Provider Name | Dr. Peter M Monti |
First Address | Providence, RI 02908-4734 |
Second Address | Providence, RI 02908-4734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |