Mattera, Christine A

Mattera, Christine A is an individual health care provider with primary practice located at 55 John A Cummings Way , Woonsocket RI 02895-3247. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mattera, Christine A can be contacted via phone (401) 235-7000.

Contact Information

Primary practice address
55 John A Cummings Way Woonsocket RI 02895-3247
Phone: (401) 235-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDP00159 Rhode Island
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MCH00140 Rhode Island

Profile Details

NPI number 1366541039
LBN Legal business name Mattera, Christine A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 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 1366541039 NPPES
Rhode Island Other 407700 BLUE CHIP
Rhode Island MEDICAID CM26347 BLUE CHIP
Rhode Island Other 6252869 BLUE CHIP
Rhode Island Other 0000030461 BLUE CHIP

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