Individual
DR. SELBY MARTIN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 HOPPIN STREET, CORO WEST, SUITE 204, BRADLEY HASBRO CHILDREN'S RESEARCH CENTER, PROVIDENCE, RI 02903
(401) 444-6560
Mailing address
1 HOPPIN STREET, CORO WEST, SUITE 204, BRADLEY HASBRO CHILDREN'S RESEARCH CENTER, PROVIDENCE, RI 02903
(401) 444-6560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS01273
RI
Other
Enumeration date
10/31/2006
Last updated
05/10/2012
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