Individual
BONNIE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
55 HOPE ST, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 277-3366
Mailing address
128 ABEL HART LN, TIVERTON, RI 02878-2792
(401) 816-0968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01086
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021740
NHP GROUP
—
Enumeration date
09/19/2008
Last updated
09/19/2008
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