Individual
DR. GREGORY L. STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6313
(401) 455-6546
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6313
(401) 455-6546
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00711
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23292-2
BLUE CROSS
RI
01
—
408415
BLUE CHIP
RI
Enumeration date
10/02/2006
Last updated
07/08/2007
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