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
Phone: (401) 606-8530
Fax: (401) 606-8549
Website:
Health care specialties
Specialty | Code | License # | 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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