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Individual

CARLA D. CORREIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(508) 660-1510
Mailing address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary
01434
RI
103T00000X
Psychologist
111256
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110026265E
MA
Enumeration date
09/27/2011
Last updated
11/18/2021
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