| NPI | 1740810548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA PERKINS- BANAS Neuro Psychologist 401-383-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-06-11 |