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Contact Information

JUDITH A HART, LCDP
610 WAMPANOAG TRAIL
EAST PROVIDENCE, RI02915
 Phone: 401-431-9870
 Fax: 401-435-7486
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JUDITH A HART · (Female)

NPI # 1487664553
Status Active
Credentials LCDP
Entity Individual
Enumeration date 08/09/2006
Last updated 05/20/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • RI License # LCDP00173
  • RI License # MHC00362
  • RI Medicaid JL58361
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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