Individual
INGA KORSGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30 JOHN ST, PROVIDENCE, RI 02906-1043
(347) 549-0280
Mailing address
30 JOHN ST, PROVIDENCE, RI 02906-1043
(347) 549-0280
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023947
NY
103T00000X
Psychologist
4204
CT
103T00000X
Psychologist
PS01914
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023947
NYS STATE LICENSE NUMBER
NY
01
—
18001
PSYPACT APIT
—
01
—
4204
CONNECTICUT LICENSE NUMBER
CT
01
—
PS01914
RHODE ISLAND LICENSE NUMBER
RI
Enumeration date
10/27/2020
Last updated
03/25/2024
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