Kudinova, Anastacia Y.

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

Contact Information

Primary practice address
1 Hoppin St 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 103TC0700X PS02153 Rhode Island
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS02153 Rhode Island

Profile Details

NPI number 1316786668
LBN Legal business name Kudinova, Anastacia Y.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2024
Last updated Jun 14th, 2024 - about 2 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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