Long, Douglas Moore
Long, Douglas Moore is an individual health care provider with primary practice located at 1170 Pontiac Ave , Cranston RI 02920-7944. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Long, Douglas Moore can be contacted via phone (401) 500-0424.Contact Information
Primary practice address
1170 Pontiac Ave
Cranston RI 02920-7944
Phone: (401) 500-0424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS01564 | Rhode Island |
Profile Details
| NPI number | 1750731592 |
|---|---|
| LBN Legal business name | Long, Douglas Moore |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2016 |
| Last updated | Oct 4th, 2023 - 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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