Individual
HANNAH BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
400 MASSASOIT AVE STE 305, EAST PROVIDENCE, RI 02914-2012
(401) 294-0451
Mailing address
400 MASSASOIT AVE STE 305, EAST PROVIDENCE, RI 02914-2012
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01767
RI
Other
Enumeration date
04/04/2018
Last updated
04/29/2019
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