Provider Demographics
NPI:1023585643
Name:NAUGHTON, CLAIRE JENNETTE (LMT, CLC)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:JENNETTE
Last Name:NAUGHTON
Suffix:
Gender:F
Credentials:LMT, CLC
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:JENNETTE
Other - Last Name:LOCKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3020
Mailing Address - Country:US
Mailing Address - Phone:401-263-3772
Mailing Address - Fax:
Practice Address - Street 1:208 GOVERNOR ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3246
Practice Address - Country:US
Practice Address - Phone:401-263-3772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMT02461225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist