Individual
STEPHEN CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
VETERANS AFFAIRS MEDICAL CENTER, 830 CHALKSTONE AVE. (116), PROVIDENCE, RI 02908-4799
(401) 273-7100
(401) 457-3371
Mailing address
VETERANS AFFAIRS MEDICAL CENTER, 830 CHALKSTONE AVE. (116), PROVIDENCE, RI 02908-4799
(401) 273-7100
(401) 457-3371
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS000796
RI
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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