| NPI | 1972474211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA W COYNE Clinical Psychologist 401-829-8491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |