| NPI | 1790207876 |
|---|---|
| Doing Business As | PVD PSYCHOLOGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | NICOLE ISSA Owner 401-330-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01616) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01615) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2021-07-25 |