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Individual

BARBARA TYLENDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1256
(401) 432-1500
Mailing address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1284
(401) 432-1509

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00328
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30182-8
BLUE CROSS
RI
01
407793
BLUE CHIP
RI
01
61-55010
UNITED BEHAVIORAL HEALTH
RI
05
BT23957
RI
Enumeration date
06/07/2006
Last updated
01/06/2011
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