Provider Demographics
NPI:1871088096
Name:TAUBIN, PATRICIA A (MA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:TAUBIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:A
Other - Last Name:ALVAREZ DE TAUBIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MASTER
Mailing Address - Street 1:29 WINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5008
Mailing Address - Country:US
Mailing Address - Phone:914-643-1666
Mailing Address - Fax:
Practice Address - Street 1:520 HOPE ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2599
Practice Address - Country:US
Practice Address - Phone:401-714-0028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01122101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health