Benito, Kristen Michelle

Benito, Kristen Michelle is an individual health care provider with primary practice located at 1 Hoppin St Suite 204, Providence RI 02903-4141. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Benito, Kristen Michelle can be contacted via phone (401) 444-8945.

Contact Information

Primary practice address
1 Hoppin St Suite 204 Providence RI 02903-4141
Phone: (401) 444-8945
Fax: (401) 444-8742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS01254 Rhode Island

Profile Details

NPI number 1770849242
LBN Legal business name Benito, Kristen Michelle
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2012
Last updated Apr 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770849242 NPPES
Rhode Island Other PS01254 PROFESSIONAL LICENSE

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