| NPI | 1518647726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA BETH LOCKWOOD Presietn/Psychologist 401-556-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |