Individual
DR. MARK A CELIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
121 S MAIN ST, PROVIDENCE, RI 02903-2905
(401) 863-6662
Mailing address
6 FENWICK RD, RIVERSIDE, RI 02915-1420
(401) 497-7884
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PS01682
RI
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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