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Contact Information

BRUCE BEATTIE, LCDP
530 N MAIN ST
PROVIDENCE, RI02904-5762
 Phone: 401-274-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for BRUCE BEATTIE · (Male)

NPI Number 1306094164
Status Active
Credentials LCDP
Entity Individual
Enumeration date 09/05/2008
Last updated 03/27/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • RI License # LCDP00165
  • RI Medicaid BB72702
  • RI Other 1104847946 THE PROVIDENCE CENTER NPI
  • RI Other 1306094164 UBH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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