Individual
DR. NICOLE ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
382 THAYER ST, PROVIDENCE, RI 02906-1558
(401) 330-5882
(401) 226-0137
Mailing address
11 S ANGELL ST # 405, PROVIDENCE, RI 02906-5206
(401) 330-5882
(401) 663-6628
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
021654
NY
103TC0700X
Clinical Psychologist
9797
MA
103TC0700X
Clinical Psychologist
Primary
PS01615
RI
Other
Enumeration date
02/27/2007
Last updated
07/25/2021
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