NPI 1508094590 · live from the CMS NPI Registry
Melissa Anne Buttaro, Ph.d.
Psychologist in Providence, RI. National Provider Identifier 1508094590, active.
NPI record
| NPI | 1508094590 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1 Hoppin St, Suite 317, Providence, RI 02903 |
| Practice phone | 401-793-8740 |
| Mailing address | 593 Eddy St, Apc 978, Providence, RI 02903 |
| Enumerated | June 29, 2009 |
| Last updated | June 18, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | PS01131 (RI) |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | PS01131 (RI) |
| Clinical Neuropsychologist | 103G00000X | PS01131 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.