Individual
DR. CHRISTOPHER SCOTT WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
107 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1396
(401) 742-3622
Mailing address
80 WAMPUM RD, NARRAGANSETT, RI 02882-1622
(401) 742-3622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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