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Individual

DR. DAVID S ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
501 ANGELL ST., PROVIDENCE, RI 02906
(401) 868-0350
Mailing address
1646 MAIN RD., WESTPORT POINT, MA 02791-9999
(508) 496-7401

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4979
MA
103TC0700X
Clinical Psychologist
Primary
PS00499
RI

Other

Enumeration date
12/06/2006
Last updated
07/08/2007
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