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Individual

JOHN EDWARD ZELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2444 E MAIN RD, PORTSMOUTH, RI 02871-4025
(401) 835-5041
Mailing address
3920 MAIN RD, TIVERTON, RI 02878-4809
(401) 624-1879

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
8790
MA
103TC0700X
Clinical Psychologist
Primary
PS01047
RI

Other

Enumeration date
11/13/2007
Last updated
03/09/2009
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