Individual
DAVID FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-2128
(401) 444-8836
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02396
RI
Other
Enumeration date
07/28/2025
Last updated
09/25/2025
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