Individual
DR. LAURA P ETRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD/CLINICAL PSYCHO
Contact information
Practice address
345 BLACKSTONE BLVD, 1ST FLOOR WELD BUILDING, PROVIDENCE, RI 02906
(800) 370-3651
(860) 510-0020
Mailing address
20 RESEARCH PARKWAY, STE C, OLD SAYBROCK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PS01112
RI
Other
Enumeration date
06/01/2007
Last updated
05/08/2009
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