Provider Demographics
NPI:1255631347
Name:PESCOSOLIDO, FRANCIS J (PHD, MPH)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:PESCOSOLIDO
Suffix:
Gender:M
Credentials:PHD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 WATERMAN ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-3919
Mailing Address - Country:US
Mailing Address - Phone:401-351-9200
Mailing Address - Fax:
Practice Address - Street 1:173 WATERMAN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3919
Practice Address - Country:US
Practice Address - Phone:401-351-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-24
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW005621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical