Provider Demographics
NPI:1205445855
Name:SANKOH, VIRTUE BINTA (PHD)
Entity type:Individual
Prefix:
First Name:VIRTUE
Middle Name:BINTA
Last Name:SANKOH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:PRC AND CREDENTIALING
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-273-0641
Mailing Address - Fax:401-273-2919
Practice Address - Street 1:2 DUDLEY ST STE 560
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3230
Practice Address - Country:US
Practice Address - Phone:401-453-7955
Practice Address - Fax:401-453-7720
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023763103TC0700X
RIPS02134103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical