Provider Demographics
NPI:1710934120
Name:FLEURANT, DENISE A
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:A
Last Name:FLEURANT
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 1:227 W MAIN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-4900
Mailing Address - Country:US
Mailing Address - Phone:401-864-1493
Mailing Address - Fax:401-619-2144
Practice Address - Street 1:227 W MAIN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-4900
Practice Address - Country:US
Practice Address - Phone:401-864-1493
Practice Address - Fax:401-619-2144
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMFT00061106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist