Individual
DR. FERNANDO AUGUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
184 WATERMAN ST, PROVIDENCE, RI 02906-4051
(401) 621-5351
(401) 621-5351
Mailing address
PO BOX 251, SOMERSET, MA 02726-0251
(401) 621-5351
(401) 621-5351
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4203
MA
103TC0700X
Clinical Psychologist
Primary
PS00686
RI
Other
Enumeration date
06/25/2006
Last updated
10/08/2012
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