Individual
MARJORIE A. PELCOVITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
295 GOVERNOR ST, PROVIDENCE, RI 02906-3241
(401) 351-2111
(401) 331-6260
Mailing address
63 ARLINGTON AVE, PROVIDENCE, RI 02906-3209
(401) 323-6986
(401) 331-6260
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS 291
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9259-1
BCBSRI PROVIDER NUMBER
RI
Enumeration date
07/05/2006
Last updated
09/08/2023
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