| NPI | 1518414689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-ANN LYNN DONATELLI Clinical Psychologist 401-569-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01056) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |