Organization
CENTER FOR PSYCHOLOGY AND LEARNING
Active
Organization
CENTER FOR PSYCHOLOGY AND LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA M OSOWIECKI PH.D. (MANAGER)
(401) 527-8617
Entity
Organization
Contact information
Practice address
340 BROADWAY, PROVIDENCE, RI 02909-1102
(401) 421-4561
(401) 521-3456
Mailing address
340 BROADWAY, PROVIDENCE, RI 02909-1102
(401) 421-4561
(401) 521-3456
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS00738
RI
103TC0700X
Clinical Psychologist
Primary
PS1153
RI
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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