Individual
DR. BETSY A KRUGLIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
146 W RIVER ST FL 3, PROVIDENCE, RI 02904-2609
(401) 444-6779
(401) 444-6912
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01559
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS01559
STATE LICENSE
RI
Enumeration date
05/27/2009
Last updated
03/09/2022
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