Individual
ELIZABETH COURTNEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 HOPPIN ST STE 204, PROVIDENCE, RI 02903-4141
(401) 444-8945
Mailing address
1 HOPPIN ST STE 204, PROVIDENCE, RI 02903-4141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS01783
RI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01783
RI
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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