Individual
KRISTIN MARIE MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
235 PLAIN ST, SUITE 501, PROVIDENCE, RI 02905-3240
(401) 277-0701
(401) 277-0744
Mailing address
593 EDDY ST, APC 966, PROVIDENCE, RI 02903-4923
(401) 277-0701
(401) 277-0744
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01012
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS01012
PROFESSIONAL LICENSE
RI
Enumeration date
06/04/2007
Last updated
07/08/2007
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