Individual
KATHERINE TEZANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 HOPPIN ST STE 204, PROVIDENCE, RI 02903-4141
(401) 444-8945
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02310
RI
Other
Enumeration date
11/18/2024
Last updated
09/09/2025
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