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Contact Information

ETHAN M BARRETT, 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 ETHAN M BARRETT · (Male)

NPI Number 1942546403
Status Active
Credentials LCDP
Entity Individual
Enumeration date 01/02/2013
Last updated 01/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • RI License # CDP00541
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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