Provider Demographics
NPI:1477333631
Name:TOIC, KRISTINE JOYCE
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:JOYCE
Last Name:TOIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 ARMOND WAY
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:RI
Mailing Address - Zip Code:02831-1130
Mailing Address - Country:US
Mailing Address - Phone:401-574-0635
Mailing Address - Fax:
Practice Address - Street 1:1378 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-4336
Practice Address - Country:US
Practice Address - Phone:401-233-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW005871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical