Individual
DONALD LESTER ROUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
235 PAWTUXET AVE, CRANSTON, RI 02905-3920
(401) 461-9941
Mailing address
235 PAWTUXET AVE, CRANSTON, RI 02905-3920
(401) 461-9941
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS00966
RI
103TC0700X
Clinical Psychologist
7217
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526681
—
MA
01
—
W05616
BCBS
MA
Enumeration date
06/06/2006
Last updated
01/03/2011
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