Organization
NEUROPERFORMANCE GROUP, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA ANNE FREDERICK PSYD (OWNER, PSYCHOLOGIST)
(917) 402-2880
Entity
Organization
Contact information
Practice address
TWO REGENCY PLAZA, SUITE 3, PROVIDENCE, RI 02903
(401) 484-1706
(401) 437-6959
Mailing address
TWO REGENCY PLAZA, SUITE 3, PROVIDENCE, RI 02903
(401) 484-1706
(401) 437-6959
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
03/22/2018
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