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Individual

DR. VANITHA G NAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
68 CUMBERLAND ST, SUITE #102, WOONSOCKET, RI 02895-3323
(401) 356-1940
(401) 356-1949
Mailing address
68 CUMBERLAND STREET, SUITE 102, PLAZA PSYCHOLOGY AND PSYCHIATRY, WOONSOCKET, RI 02895
(401) 356-1940
(401) 356-1949

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00990
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1028940
BEACON (NHP)
RI
01
32047-2
BLUE CROSS BLUE SHIELD
RI
01
413899
BLUE CHIP
RI
05
VN64024
RI
Enumeration date
10/03/2006
Last updated
11/29/2007
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