Individual
DR. PETER ELWOOD MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
347 BISCUIT CITY RD, KINGSTON, RI 02881-1604
(401) 789-3741
Mailing address
347 BISCUIT CITY RD, KINGSTON, RI 02881-1604
(401) 789-3741
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS 146
RI
Other
Enumeration date
01/05/2007
Last updated
07/09/2007
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