Pizza, Mary Jane

Pizza, Mary Jane is an sole proprietor health care provider with primary practice located at 2 Dudley St Ste 375Moc , Providence RI 02905-3236. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pizza, Mary Jane can be contacted via phone (401) 606-8530.

Contact Information

Primary practice address
2 Dudley St Ste 375Moc Providence RI 02905-3236
Fax: (401) 606-8549
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDP00331 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01284 Rhode Island

Profile Details

NPI number 1386607893
LBN Legal business name Pizza, Mary Jane
Credentials MSW, LICSW, LCDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Nov 13th, 2023 - about last year

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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