Individual
EMILY SUZANNE HALLOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 W RIVER ST, PROVIDENCE, RI 02904-2609
(401) 793-4006
Mailing address
148 COLONIAL RD, PROVIDENCE, RI 02906-2550
(484) 688-7224
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS02025
RI
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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