Costa, Cory Elizabeth

Costa, Cory Elizabeth is an individual health care provider with primary practice located at 420 Fruit Hill Ave , North Providence RI 02911-2626. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Costa, Cory Elizabeth can be contacted via phone (401) 353-3900.

Contact Information

Primary practice address
420 Fruit Hill Ave North Providence RI 02911-2626
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1962722512
LBN Legal business name Costa, Cory Elizabeth
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2010
Last updated Oct 17th, 2013 - about 11 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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