| NPI | 1285269456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BALDWIN Director 401-330-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |