| NPI | 1487922407 |
|---|---|
| Doing Business As | OCEAN STATE PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | KELLEY ELIZABETH GEMMA Clinical Director 401-268-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI isw01777) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |