| NPI | 1154722171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA M OSOWIECKI Manager 401-527-8617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS1153) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS00738) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |