Individual
DR. ROBERT MIRANDA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2 REGENCY PLZ, SUITE 4, PROVIDENCE, RI 02903-3160
(401) 863-6658
(401) 863-6697
Mailing address
BROWN UNIVERSITY, CNTR FOR ALCOHOL & ADDICTION STUDIES, BOX G-S121-5, PROVIDENCE, RI 02912
(401) 863-6658
(401) 863-6697
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00838
RI
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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