| NPI | 1477758282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH FALCO Office Manager 401-821-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS00392) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS00125) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |