Individual
MARYANN F FOGARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5586 POST RD UNIT 205, EAST GREENWICH, RI 02818-3454
(401) 884-2733
Mailing address
5586 POST RD UNIT 205, EAST GREENWICH, RI 02818-3454
(401) 884-2733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00215
RI
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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