DR. Kelley Harrison Pistacchio, PH.D

NPI #1780713735 in Providence, Rhode Island

Provider Information

NPI Number: 1780713735
Entity Type: Individual
Name: DR. Kelley Harrison Pistacchio, PH.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Group Psychotherapy
Credential: PH.D
Enumeration Date: Mar 5, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 610 MANTON AVE
City: Providence
State: Rhode Island
ZIP Code: 02909-5633
Phone: (401) 274-6310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X	Primary

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Organizations

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