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Organization

MIRIAM HOSPITAL

Active
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Organization

MIRIAM HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVA GREENWOOD (SVP, FINANCE)
(401) 444-7914
Entity
Organization

Contact information

Practice address
1 HOPPIN ST, CORO BLDG., BEHAVIORAL MEDICINE CLINIC, PROVIDENCE, RI 02903-4141
(401) 793-8230
(401) 793-8078
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 793-8230
(401) 793-8078

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
507
RI
103TC0700X
Clinical Psychologist
Primary
507
RI

Other

Enumeration date
05/24/2007
Last updated
12/11/2025
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