Matthew Dean Willis is a Providence, Rhode Island based psychiatrist who is specialized in Child & Adolescent. Active license number of Matthew Dean Willis is MD13403 for Child & Adolescent in Rhode Island. His current practice location is 593 Eddy St, Pob 122, Providence. Patients can reach him at 401-444-4515 or can fax him at 401-444-7018. Matthew Dean Willis is MD, MPH in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1912125345. Matthew Dean Willis has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Matthew Dean Willis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Matthew Dean Willis
Specialization:
Child & Adolescent
Gender:
Male
Credentials:
MD, MPH
Practice Address:
593 Eddy St, Pob 122, Providence, Rhode Island, 02903-4923
Phone:
401-444-4515
Fax:
401-444-7018
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1912125345
NPI Enumeration Date:
23 Apr, 2007
NPI Last Update On:
25 Mar, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Dean Willis are as mentioned below.
License Number
Specialization
State
Status
MD13403
Child & Adolescent
Rhode Island
Primary
MD13403
Psychiatry
Rhode Island
Secondary
MD13403
Pediatrics
Rhode Island
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Matthew Dean Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
MD13403
Other
Rhode Island
MEDICAL LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Matthew Dean Willis 593 Eddy St, Potter 3 Providence, Rhode Island
Zip:
02903-4923
Phone Number:
401-444-4318
Fax Number:
401-444-6573
Patients can reach Matthew Dean Willis at 593 Eddy St, Pob 122, Providence, Rhode Island or can call to book an appointment on 401-444-4515.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.