Provider Demographics
NPI:1417209206
Name:SANTOPIETRO, RICHARD F (MA)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:F
Last Name:SANTOPIETRO
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 TEN ROD ROAD
Mailing Address - Street 2:SUITE A102
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4128
Mailing Address - Country:US
Mailing Address - Phone:401-301-9677
Mailing Address - Fax:401-267-0105
Practice Address - Street 1:1130 TEN ROD ROAD
Practice Address - Street 2:SUITE A102
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4128
Practice Address - Country:US
Practice Address - Phone:401-301-9677
Practice Address - Fax:401-267-0105
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00543101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health