Individual
ALLYSON BRATHWAITE-GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
ONE RICHMOND SQUARE, SUITE 154E, PROVIDENCE, RI 20904
(401) 261-2062
(401) 432-6533
Mailing address
PO BOX 23013, PROVIDENCE, RI 02903-0394
(401) 261-2062
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS01053
RI
Other
Enumeration date
06/25/2008
Last updated
09/02/2015
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