Search › Rhode Island › 101YA0400X
Michael Bettencourt, LCDP
NPI 1558767236 · on the registry since 2014 · sole proprietor
Practice
- Address
- 850 Waterman Ave
East Providence, RI 02914 - Phone
- (401) 434-4999
- Organisation at this address
- Codac Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
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
- 2014-11-07
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