Individual
INGRID HASTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS02351
RI
103G00000X
Clinical Neuropsychologist
Primary
PSY10000832
MA
103TC0700X
Clinical Psychologist
PS02351
RI
Other
Enumeration date
05/09/2025
Last updated
08/19/2025
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