Individual
HEATHER L PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8945
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8945
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
07/20/2015
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