Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | RI |
NPI | 1083885792 |
---|---|
Provider Name | Patricia Kalen |
First Address | Wakefield, RI 02879-1439 |
Second Address | Wakefield, RI 02879-1439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2008 |
Last Update Date | 20/03/2008 |