| NPI | 1346460151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN HOLLER Licensed Psychologist 401-455-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS000626) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS000844) |
| 103T00000X Psychologist (Licence: RI PS000626) | |
| 103T00000X Psychologist (Licence: RI PS000844) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-06-25 |