Individual
SAMANTHA A. KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
84 BARTLETT AVE, CRANSTON, RI 02905-1336
(401) 243-7044
(401) 842-0360
Mailing address
84 BARTLETT AVE, CRANSTON, RI 02905-1336
(401) 243-7044
(401) 842-0360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00884
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SK56341
—
RI
Enumeration date
05/19/2006
Last updated
05/08/2013
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