Individual
DR. AMANDA CONNERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
382 THAYER ST, PROVIDENCE, RI 02906-1558
(401) 330-5882
Mailing address
382 THAYER ST, PROVIDENCE, RI 02906-1558
(401) 330-5882
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02204
RI
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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