Individual
ELIZABETH ROSE DIDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 HOPPIN ST, SUITE 2.030, PROVIDENCE, RI 02903-4141
(401) 444-9887
(401) 444-1645
Mailing address
593 EDDY ST, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-7865
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS00883
RI
103TC0700X
Clinical Psychologist
Primary
PS00883
RI
Other
Enumeration date
12/16/2006
Last updated
01/27/2012
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