| NPI | 1376892679 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KRISTIN A DAVID Licensed Clinical Psychologist 401-465-2670 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103T00000X Psychologist | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 106H00000X Marriage & Family Therapist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-08-31 | 
| Last Update Date | 2016-09-27 |