Philip Licis LCDP

  • NPI 1033154224
According to our database, the NPI number for Philip Licis LCDP is 1033154224 and activated since 17 years ago. Philip Licis LCDP is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 111 Howard Ave Bldg 56, Cranston, RI 02920. You can also contact Philip Licis LCDP via telephone number is (401) 462-1020. Provider NPI information was last updated on 03/30/2009.

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Overview of Philip Licis LCDP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/19/2006
  • Last updated: 03/30/2009

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: LCDP00037
  • License State: RI

Provider Mailing Address

  • Address: 528 N Main St
    Providence, RI 02904
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 111 Howard Ave Bldg 56
    Cranston, RI 02920
  • Phone: 401-462-1020
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: LCDP00037
  • License State: RI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1033154224
  • Identifier Type: Other
  • Identifier State: RI
  • Issuer: UBH

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Philip Licis LCDP?
  • A: The npi number for Philip Licis LCDP is 1033154224.
  • Q: What are Philip Licis LCDP's specialties?
  • A: Philip Licis LCDP's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Philip Licis LCDP?
  • A: The medical license number for Philip Licis LCDP is LCDP00037 and issued in RI in USA.
  • Q: Where is Philip Licis LCDP practice location?
  • A: Philip Licis LCDP is practicing at 111 Howard Ave Bldg 56, Cranston, RI 02920.
  • Q: How to contact Philip Licis LCDP?
  • A: You can contact Philip Licis LCDP via 401-462-1020.