Provider Demographics
NPI:1275563405
Name:INGLE, DAVID WINSTON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WINSTON
Last Name:INGLE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 MENDON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-3805
Mailing Address - Country:US
Mailing Address - Phone:401-475-5500
Mailing Address - Fax:401-475-5549
Practice Address - Street 1:2190 MENDON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-3805
Practice Address - Country:US
Practice Address - Phone:401-475-5500
Practice Address - Fax:401-475-5549
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00806103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical