NPI 1780180943 · live from the CMS NPI Registry
Hannah Boettcher, PhD
Psychologist, Clinical in East Providence, RI. National Provider Identifier 1780180943, active.
NPI record
| NPI | 1780180943 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 400 Massasoit Ave Ste 305, East Providence, RI 02914 |
| Practice phone | 401-294-0451 |
| Enumerated | April 4, 2018 |
| Last updated | April 29, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PS01767 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.