NPI 1891329934 · live from the CMS NPI Registry
Mary Kathryn Cancilliere, MA/MS
Psychologist, Clinical Child & Adolescent in Barrington, RI. National Provider Identifier 1891329934, active.
NPI record
| NPI | 1891329934 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 25 Charles St, Barrington, RI 02806 |
| Practice phone | 401-743-8904 |
| Enumerated | February 27, 2020 |
| Last updated | February 27, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.