Individual
DR. MARK L. TAVITIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2730 S COUNTY TRL, EAST GREENWICH, RI 02818-1730
(401) 884-9895
(401) 885-9898
Mailing address
2730 S COUNTY TRL, EAST GREENWICH, RI 02818-1730
(401) 884-9895
(401) 885-9898
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000358PS
RI
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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