Individual
DR. MARCIA RUTH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
69 JOHN ST, PROVIDENCE, RI 02906-2033
(401) 572-3889
Mailing address
69 JOHN ST, PROVIDENCE, RI 02906-2033
(401) 572-3889
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
684
RI
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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