Provider Demographics
NPI:1366933970
Name:PERKINS, ROSE JOSEPHINE
Entity type:Individual
Prefix:DR
First Name:ROSE
Middle Name:JOSEPHINE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 MACINTOSH DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-1135
Mailing Address - Country:US
Mailing Address - Phone:401-949-3913
Mailing Address - Fax:
Practice Address - Street 1:11 MACINTOSH DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-1135
Practice Address - Country:US
Practice Address - Phone:401-949-3913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4756103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4756OtherDON'T HAVE SUCH NUMBERS