Provider Demographics
NPI:1134805880
Name:VOLPE, JUSTIN P
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:P
Last Name:VOLPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CORMIER RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-3105
Mailing Address - Country:US
Mailing Address - Phone:401-808-0836
Mailing Address - Fax:
Practice Address - Street 1:20 CORMIER RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-3105
Practice Address - Country:US
Practice Address - Phone:401-808-0836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health