Koinis-Mitchell, Daphne

Koinis-Mitchell, Daphne is an individual health care provider with primary practice located at 1 Hoppin St Coro West, Suite 204, Providence RI 02903-4141. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Koinis-Mitchell, Daphne can be contacted via phone (401) 444-8945.

Contact Information

Primary practice address
1 Hoppin St Coro West, Suite 204 Providence RI 02903-4141
Phone: (401) 444-8945
Fax: (401) 444-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Other Service Providers / Specialist 174400000X PS00950 Rhode Island

Profile Details

NPI number 1932143229
LBN Legal business name Koinis-Mitchell, Daphne
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 25th, 2015 - about 9 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 1932143229 NPPES
Rhode Island Other PS00950 STATE LICENSE NUMBER

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