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Individual

REBECCA S LAPTOOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
593 EDDY ST, POTTER BASEMENT, PROVIDENCE, RI 02903-4923
(401) 444-8863
(401) 444-2085
Mailing address
593 EDDY ST, POTTER 3, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-6573

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01190
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS01190
PROFESSIONAL LICENSE
RI
Enumeration date
07/20/2010
Last updated
03/29/2013
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