Individual
DR. VAMSI C TUMMALACHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
06567
MD
103TC0700X
Clinical Psychologist
Primary
PS02024
RI
Other
Enumeration date
05/13/2019
Last updated
12/22/2021
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