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Individual

AMY ELIZABETH VITALI ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
60 BAY SPRING AVE UNIT B5, BARRINGTON, RI 02806-1386
(401) 294-0451
(401) 294-0461
Mailing address
60 BAY SPRING AVE UNIT B5, BARRINGTON, RI 02806-1386
(401) 294-0451
(401) 294-0461

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042888A
IN
103TC0700X
Clinical Psychologist
Primary
PS01820
RI

Other

Enumeration date
01/25/2017
Last updated
08/28/2020
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