Individual
MARISA LOUISE BERGFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
146 W RIVER ST STE 11A, PROVIDENCE, RI 02904-2609
(401) 793-8770
(401) 793-8709
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02209
RI
Other
Enumeration date
06/03/2021
Last updated
10/01/2025
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