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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