SearchRhode Island101YA0400X

Fred Pierce, LCDP

NPI 1386865954 · on the registry since 2007

Practice

Address
Codac Providence
349 Huntington Ave
Providence, RI 02909
Phone
(401) 942-1450
Clinicians at this address
4

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island