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Individual

CHRISTINA TORTOLANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
593 EDDY ST, POTTER 3, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-6573
Mailing address
5893 EDDY STREET, PHYSICIAN'S OFFICE BUILDING, # 122, PROVIDENCE, RI 02903-4141
(401) 444-4515
(401) 444-7018

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01341
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS01341
PROFESSIONAL LICENSE
RI
Enumeration date
11/15/2012
Last updated
04/05/2013
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