Individual
DR. JUNE GRODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
86 MOUNT HOPE AVE, PROVIDENCE, RI 02906-1648
(401) 274-6310
(401) 421-3280
Mailing address
610 MANTON AVE, STE 2, PROVIDENCE, RI 02909-5633
(401) 274-6310
(401) 421-3280
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00320
RI
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
PS00320
RI
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS00320 - STATE OF R
PS00320 - STATE OF RI
RI
Enumeration date
11/01/2007
Last updated
08/22/2018
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