Individual
DR. MARYANN A PAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
830 CHALKSTONE AVE, VETERANS ADMINISTRATION MEDICAL CENTER, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
220 LAUREL AVE, PROVIDENCE, RI 02906-5706
(401) 751-3350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6025
MA
103TC0700X
Clinical Psychologist
Primary
PS0456
RI
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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