Individual
KATE MARIE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
154 WATERMAN ST, PROVIDENCE, RI 02906-3116
(401) 256-4720
Mailing address
9 HUNT DR, BARRINGTON, RI 02806-1530
(401) 256-4720
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01105
RI
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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