Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSANNE G. DEFEDELE, PCNS
Active Sole ProprietorSUSANNE G. DEFEDELE, PCNS is a Psychiatric/Mental Health, Child & Adolescent CNS healthcare provider located in LINCOLN, Rhode Island. NPI 1952484545 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Child & Adolescent CNS · LINCOLN, RI
Registration Details
- NPI Number
- 1952484545
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2006 (19.850567336033 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PPNS00002 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 HIGGINSON AVESUITE 107 DLINCOLN, RI, 028652732Browse RI providers · Browse ZIP 02865
- Phone
- 4017237007
- Primary Specialty
-
Psychiatric/Mental Health, Child & Adolescent CNS
364SP0807X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.