Individual
REBECCA MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 273-0641
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 273-0641
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS01409
RI
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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