Individual
JACOB ADRIAN LAFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
593 EDDY ST STE 430, PROVIDENCE, RI 02903-4923
(401) 444-4500
(401) 444-6643
Mailing address
450 VETERANS MEMORIAL PKWY STE 8B, EAST PROVIDENCE, RI 02914-5315
(401) 529-4884
(401) 519-6619
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
PS01845
RI
Other
Enumeration date
08/14/2020
Last updated
11/30/2020
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