Brogan, Deirdre T

Brogan, Deirdre T is an individual health care provider with primary practice located at 1011 Veterans Memorial Pkwy , Riverside RI 02915-5061. 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. Brogan, Deirdre T can be contacted via phone (401) 432-1532.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy Riverside RI 02915-5061
Phone: (401) 432-1532
Fax: (401) 432-1500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS01263 Rhode Island

Profile Details

NPI number 1629304308
LBN Legal business name Brogan, Deirdre T
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2009
Last updated Mar 6th, 2012 - about 12 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 1629304308 NPPES
Rhode Island Other PS01263 PROFESSIONAL LICENSE

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