Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Governor Diagnostic and Treatment Center

Organization Developmental - Behavioral Pediatrics Physician · NPI 1235439639

Governor Diagnostic and Treatment Center provides Developmental - Behavioral Pediatrics Physician services in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2010.

Licensed in
RI
In the registry since
2010

Practice location Address checks out

293 Governor St
Providence, RI 02906-3220 Not confirmed with CMS for 15 years — call before visiting
Phone: (401) 351-5730
Fax: (401) 331-6260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 5984 (RI)

Record details

NPI number1235439639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Marwil — Sole Proprietor · (401) 351-5730
NPI enumeratedNovember 1, 2010
Last updated in NPPESNovember 1, 2010
Mailing address293 Governor St, Providence, RI 02906-3220

Other providers in Providence