Individual
MADDI R GERVASIO-PONTARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1022
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS02452
RI
103T00000X
Psychologist
Primary
—
RI
Other
Enumeration date
04/20/2026
Last updated
06/17/2026
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