Individual
DEIRDRE A GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA PSYCHOLOGY
Contact information
Practice address
1170 PONTIAC AVE, CRANSTON, RI 02920-7944
(401) 500-0424
Mailing address
420 SCRABBLETOWN RD STE A, NORTH KINGSTOWN, RI 02852-3638
(401) 268-5333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHC00467
PROFESSIONAL LICENSE
RI
Enumeration date
01/17/2007
Last updated
10/04/2023
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