NPI 1629304308 · live from the CMS NPI Registry
Deirdre T Brogan, Ph.D.
Psychologist, Clinical Child & Adolescent in Riverside, RI. National Provider Identifier 1629304308, active.
NPI record
| NPI | 1629304308 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 1011 Veterans Memorial Pkwy, Riverside, RI 02915 |
| Practice phone | 401-432-1532 |
| Enumerated | October 30, 2009 |
| Last updated | March 6, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | PS01263 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.