NPI 1154722171 · live from the CMS NPI Registry
Center For Psychology And Learning
Psychologist, Clinical in Providence, RI. National Provider Identifier 1154722171, active.
NPI record
| NPI | 1154722171 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 340 Broadway, Providence, RI 02909 |
| Practice phone | 401-421-4561 |
| Enumerated | September 9, 2014 |
| Last updated | September 9, 2014 |
| Authorized official | Dana Osowiecki, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS00738 (RI) |
| Psychologist, Clinical primary | 103TC0700X | PS1153 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.