Individual
MARY CLAIR-MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
24 SALT POND RD STE B4, WAKEFIELD, RI 02879-4320
(401) 783-1310
Mailing address
24 SALT POND RD STE B4, WAKEFIELD, RI 02879-4320
(609) 381-9174
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PS01446
RI
103TC0700X
Clinical Psychologist
Primary
PS01446
RI
Other
Enumeration date
04/21/2015
Last updated
08/30/2016
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