Individual
ANAIT AZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 RICHMOND SQ, 102K, PROVIDENCE, RI 02906-5139
(401) 751-3281
(401) 270-3740
Mailing address
2 LAKE DR, NORTH PROVIDENCE, RI 02904-2902
(401) 829-1964
(401) 270-3740
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00704
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037250
BEACON HEALTH STRATEGIES
RI
01
—
232267
BLUE CROOS AND BLUE SHIEL
RI
01
—
407745
BLUE CHIP
RI
05
—
AA37210
—
RI
Enumeration date
01/08/2007
Last updated
07/08/2007
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