Individual
DR. LAURA BRAVE WHITELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOPPIN ST, SUITE 204, PROVIDENCE, RI 02903-4141
(401) 444-8945
(401) 444-8742
Mailing address
593 EDDY ST, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-7865
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD13728
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD13728
MEDICAL LICENSE
RI
Enumeration date
02/02/2007
Last updated
07/29/2011
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