Individual
ANNE DAVIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2128 MAIN RD, TIVERTON, RI 02878
(401) 624-9972
(401) 624-1452
Mailing address
2128 MAIN RD, TIVERTON, RI 02878
(401) 624-9972
(401) 624-1452
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
413
RI
103T00000X
Psychologist
4373
MA
Other
Enumeration date
12/19/2006
Last updated
07/28/2010
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