Individual
ROBERTA B. HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
70 ELMGROVE AVE, PROVIDENCE, RI 02906
(401) 272-0297
Mailing address
70 ELMGROVE AVE., PROVIDENCE, RI 02906
(401) 272-0297
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
PNS00039
RI
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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