Individual
LORRAINE RUOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1075 SMITH ST STE 2, PROVIDENCE, RI 02908-2700
(781) 619-1500
Mailing address
1075 SMITH ST STE 2, PROVIDENCE, RI 02908-2700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
11381
MA
103T00000X
Psychologist
Primary
PS01970
RI
103TC0700X
Clinical Psychologist
11381
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/04/2013
Last updated
05/27/2022
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