Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1033219696 |
---|---|
Provider Name | Ms. Suzanne Marie Foster-Sanda |
First Address | Cranston, RI 02910-5709 |
Second Address | Milford, MA 01757-1750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2006 |
Last Update Date | 27/08/2013 |