Provider Demographics
NPI:1932667227
Name:BECHARD, PAUL A (PEER SPECIALIST)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:A
Last Name:BECHARD
Suffix:
Gender:M
Credentials:PEER SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2756 POST ROAD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:FL
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-691-6000
Mailing Address - Fax:401-691-3398
Practice Address - Street 1:2756 POST ROAD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:FL
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-691-6000
Practice Address - Fax:401-691-3398
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI200185175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist