CHARLES ALEXANDER BRAKE

PROVIDENCE, RI
NPI1558941963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2021-04-09
Last Update Date2021-04-09
Business Address
CHARLES ALEXANDER BRAKE Ph.D.
830 CHALKSTONE AVE BLDG 14
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Mailing Address
CHARLES ALEXANDER BRAKE Ph.D.
243 BROADWAY APT 3
PROVIDENCE, RI 02903-3068
Phone number: