Individual
LAURA ELIZABETH KORTHAUER GILMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
110 LOCKWOOD ST STE 430, PROVIDENCE, RI 02903-4815
(401) 444-7735
Mailing address
110 LOCKWOOD ST STE 430, PROVIDENCE, RI 02903-4815
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS01797
RI
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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