Individual
CHARLES BOISVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1130 TEN ROD RD, SUITE E305, NORTH KINGSTOWN, RI 02852-4161
(401) 294-0451
(401) 294-0461
Mailing address
32 FANNING LN, GREENVILLE, RI 02828-1604
(401) 349-0565
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00831
RI
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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