Individual
MICHELINE RUTH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
146 W RIVER ST FL 3, PROVIDENCE, RI 02904-2609
(401) 793-5700
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02142
RI
Other
Enumeration date
04/07/2023
Last updated
06/07/2023
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