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 02915-5099
(401) 432-1022
Mailing address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5099
(401) 432-1022
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
RI
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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