Speaks, Jennifer Dwyer

Speaks, Jennifer Dwyer is an individual health care provider with primary practice located at 542 Central Ave , Pawtucket RI 02861-1947. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Speaks, Jennifer Dwyer can be contacted via phone (401) 871-7009.

Contact Information

Primary practice address
542 Central Ave Pawtucket RI 02861-1947
Phone: (401) 871-7009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW01351 Rhode Island

Profile Details

NPI number 1962422345
LBN Legal business name Speaks, Jennifer Dwyer
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 12th, 2013 - about 13 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 1962422345 NPPES
Rhode Island Other 412296 EI BLUE CHIP
Rhode Island Other 6400144 EI BLUE CHIP
Rhode Island Other 2092 EI BLUE CHIP
Rhode Island Other 292177 EI BLUE CHIP
Rhode Island MEDICAID ES01788 EI BLUE CHIP

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