Individual
DR. THOMAS J. LAVIN III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
42 WESTWOOD AVE, RUMFORD, RI 02916-1623
(401) 438-0468
Mailing address
42 WESTWOOD AVE, RUMFORD, RI 02916-1623
(401) 438-0468
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS244
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3581-5
BLUE CROSS
RI
Enumeration date
06/16/2006
Last updated
07/08/2007
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