Thibodeau, Heather Ann

Thibodeau, Heather Ann is an individual health care provider with primary practice located at 1011 Veterans Memorial Pkwy , East Providence 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. Thibodeau, Heather Ann can be contacted via phone (401) 432-1394.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy East Providence RI 02915-5061
Phone: (401) 432-1394
Fax: (401) 432-1500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01454 Rhode Island

Profile Details

NPI number 1184668923
LBN Legal business name Thibodeau, Heather Ann
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 7th, 2011 - about 14 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 1184668923 NPPES
Rhode Island Other 27174-3 BLUE CROSS
Rhode Island Other 411368 BLUE CROSS
Rhode Island MEDICAID HT47075 BLUE CROSS

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