Individual
MAUREEN MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
569 MAIN ST, WARREN, RI 02885-4356
(443) 519-2223
Mailing address
569 MAIN ST, WARREN, RI 02885-4356
(443) 519-2223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST00293
STATE LICENSE
RI
Enumeration date
05/07/2022
Last updated
05/07/2022
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