Individual
ANDREA LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
24 SALT POND RD, D3, WAKEFIELD, RI 02879-4314
(401) 789-2306
(401) 789-2307
Mailing address
24 SALT POND RD, D3, WAKEFIELD, RI 02879-4314
(401) 789-2306
(401) 789-2307
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01453
RI
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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