Provider Demographics
NPI:1275541575
Name:PAOLINO, RONALD MARIO (BS,MS,PHD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MARIO
Last Name:PAOLINO
Suffix:
Gender:M
Credentials:BS,MS,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 COLLEGE HILL RD STE 29C
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2775
Mailing Address - Country:US
Mailing Address - Phone:401-822-4673
Mailing Address - Fax:401-822-4676
Practice Address - Street 1:33 COLLEGE HILL RD STE 29C
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2775
Practice Address - Country:US
Practice Address - Phone:401-822-4673
Practice Address - Fax:401-822-4676
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00159103TC0700X
RIRPH016261835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist