Goulet, Rose A

Goulet, Rose A is an individual health care provider with primary practice located at 610 Wampanoag Trl , East Providence RI 02915-1504. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goulet, Rose A can be contacted via phone (401) 431-9870.

Contact Information

Primary practice address
610 Wampanoag Trl East Providence RI 02915-1504
Phone: (401) 431-9870
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01046 Rhode Island

Profile Details

NPI number 1356326854
LBN Legal business name Goulet, Rose A
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Oct 10th, 2007 - about 17 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 1356326854 NPPES
Rhode Island Other 30018-4 BLUE CROSS
Rhode Island Other 62-42870 BLUE CROSS
Rhode Island MEDICAID RG15257 BLUE CROSS
Rhode Island Other 407468 BLUE CROSS

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