| NPI | 1033482922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LUCIER Member 401-739-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: RI PS01240) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: RI PS01160) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: RI PS00989) | |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2019-07-10 |