Individual
CAROL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12 ROOSEVELT AVE, APROMA STUDIOS, MYSTIC, CT 06355
(860) 777-5560
Mailing address
1391 NAMAGANSETT BLVD, CRANSTON, RI 02905-5122
(401) 383-4957
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000439
CT
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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