Individual
MARK DUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 490-8900
(401) 490-2619
Mailing address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00569
RI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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