NPI 1245881002 · live from the CMS NPI Registry
Katelyn Affleck, PhD
Psychologist, Clinical Child & Adolescent in Riverside, RI. National Provider Identifier 1245881002, active.
NPI record
| NPI | 1245881002 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 1011 Veterans Memorial Pkwy, Riverside, RI 02915 |
| Practice phone | 401-432-1418 |
| Mailing address | 117 Ellenfield St Ste 101, Providence, RI 02905 |
| Enumerated | September 24, 2019 |
| Last updated | September 25, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | PS01811 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.