Medical school: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated: 1979
Offers telehealth
NPI: 1053395665
Practice Locations (1)
PROVIDENCE BEHAVIORAL HEALTH ASSOCIATES INC
1075 SMITH ST, SUITE 2
PROVIDENCE, RI 029082700
4013699224
Source: CMS National Downloadable File, September 2026.