Organization
PSYCHOLOGISTS AT JEFFERSON GATEWAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA MARIA DUARTE PHD (PSYCHOLOGIST)
(401) 921-5400
Entity
Organization
Contact information
Practice address
931 JEFFERSON BLVD, SUITE 2009, WARWICK, RI 02886-2234
(401) 921-5400
(401) 921-5402
Mailing address
931 JEFFERSON BLVD, SUITE 2009, WARWICK, RI 02886-2234
(401) 921-5400
(401) 921-5402
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01162
RI
Other
Enumeration date
06/14/2010
Last updated
07/22/2010
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