Individual
BENJAMIN MATTHEW GOLDWASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 274-7100
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02406
RI
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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