Waite, Marybeth O'Donnell

Waite, Marybeth O'Donnell 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. Waite, Marybeth O'Donnell can be contacted via phone (401) 432-1284.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy East Providence RI 02915-5061
Phone: (401) 432-1284
Fax: (401) 432-1509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01584 Rhode Island

Profile Details

NPI number 1740226984
LBN Legal business name Waite, Marybeth O'Donnell
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 23rd, 2018 - about 6 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 1740226984 NPPES
Rhode Island Other 62-70218 UNITED BEHAVIORAL HEALTH
Rhode Island Other 27446-3 UNITED BEHAVIORAL HEALTH
Rhode Island Other 411706 UNITED BEHAVIORAL HEALTH
Rhode Island MEDICAID MO52565 UNITED BEHAVIORAL HEALTH

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