Individual
LAUREN WHITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
76 LOCUST AVE, BSMNT, NORTH PROVIDENCE, RI 02911-1526
(401) 309-6387
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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