Psychologists at Jefferson Gateway, LLC
NPI #1952622953 in Warwick, Rhode Island
Provider Information
- NPI Number
- 1952622953
- Entity Type
- Organization
- Organization Name
- Psychologists at Jefferson Gateway, LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jun 14, 2010
- Last Updated
- Jul 22, 2010
Practice Location
- Address
- 931 JEFFERSON BLVD
- Address 2
- SUITE 2009
- City
- Warwick
- State
- Rhode Island
- ZIP Code
- 02886-2234
- Phone
- (401) 921-5400
Authorized Official
- Name
- CECILIA MARIA DUARTE, PHD
- Title
- PSYCHOLOGIST
- Phone
- (401) 921-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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