Ridge, Timothy Kieran

Ridge, Timothy Kieran is an individual health care provider with primary practice located at 68 Cumberland St Suite 102, Woonsocket RI 02895-3323. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Ridge, Timothy Kieran can be contacted via phone (401) 356-1940.

Contact Information

Primary practice address
68 Cumberland St Suite 102 Woonsocket RI 02895-3323
Phone: (401) 356-1940
Fax: (401) 356-1949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT00110 Rhode Island

Profile Details

NPI number 1609083823
LBN Legal business name Ridge, Timothy Kieran
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Dec 27th, 2007 - about 18 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 1609083823 NPPES
Rhode Island Other 414012 BLUE CHIP
Rhode Island Other 326867 BLUE CHIP
Rhode Island MEDICAID TR66767 BLUE CHIP

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