Individual
TANYA TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, POTTER 3, PROVIDENCE, RI 02903-4923
(401) 444-3534
(401) 444-3298
Mailing address
117 ELLENFIELD ST, SUITE 101, PROVIDENCE, RI 02905-4513
(401) 444-4318
(401) 444-6573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01378
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS01378
PROFESSIONAL LICENSE
RI
Enumeration date
02/24/2014
Last updated
02/24/2014
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