Organization
EAST BAY PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E. KILMER PHD (OWNER)
(303) 995-1188
Entity
Organization
Contact information
Practice address
513 BROADWAY, NEWPORT, RI 02840-1471
(303) 995-1188
Mailing address
513 BROADWAY, NEWPORT, RI 02840-1471
(303) 995-1188
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/26/2025
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