| NPI | 1053740035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SQUIRES Clinical Psychologist; Co Owner 401-474-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS00980) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01370) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2017-04-29 |