Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PS01020 | RI |
N | 103G00000X | Clinical Psychologist | PS01020 | RI |
N | 103TC0700X | Clinical Psychologist | PS01020 | RI |
NPI | 1205000544 |
---|---|
Provider Name | Ana Maria Abrantes |
First Address | Providence, RI 02906-4800 |
Second Address | Providence, RI 02906-4800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2008 |
Last Update Date | 17/04/2008 |