Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 7409 | MA |
N | 103TC0700X | Clinical Psychologist | 7409 | MA |
Y | 103G00000X | Clinical Psychologist | PS00595 | RI |
Y | 103TC0700X | Clinical Psychologist | PS00595 | RI |
NPI | 1003955634 |
---|---|
Provider Name | Mrs. Rhonda L Sabo |
First Address | Providence, RI 02909-1143 |
Second Address | Providence, RI 02909-1143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01-73459 | UNITED HEALTHCARE (01) | RI |
2004120103151177-001 | MAGELLAN (01) | MA |
2712-8 | BLUE CROSS BLUE SHIELD (01) | RI |
410786 | BLUECHIP (01) | RI |