Individual
DIANA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
196 WATERMAN ST, PROVIDENCE, RI 02906-4071
(401) 439-7690
Mailing address
144 MEETING ST, PROVIDENCE, RI 02906-1348
(401) 439-7690
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00302
RI
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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