Individual
JON LADD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
850 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7244
(401) 474-1422
(401) 842-0360
Mailing address
850 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7244
(401) 474-1422
(401) 842-0360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00743
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
RI
Enumeration date
05/25/2006
Last updated
07/08/2007
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