Individual
LAURA GRACE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
148 W RIVER ST STE 8, PROVIDENCE, RI 02904-2615
(401) 606-3000
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01938
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/16/2012
Last updated
07/20/2021
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