Individual
AMY SISSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
935 PARK AVENUE, CRANSTON, RI 02910
(401) 781-4380
Mailing address
5 ALEXANDER DRIVE, WEST WARWICK, RI 02893
(401) 615-2336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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