Stark, Melanie Sharon Farkas

Stark, Melanie Sharon Farkas is an individual health care provider with primary practice located at 1011 Veterans Memorial Pkwy , Riverside RI 02915-5061. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stark, Melanie Sharon Farkas can be contacted via phone (401) 432-1000.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy Riverside RI 02915-5061
Fax: (401) 432-1500
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 9342 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01539 Rhode Island

Profile Details

NPI number 1215221304
LBN Legal business name Stark, Melanie Sharon Farkas
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2011
Last updated Jul 21st, 2022 - about 2 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 1215221304 NPPES
Rhode Island MEDICAID 1215221304

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