Whalio Doctors

NPI 1043385081

Tara Mabel Brannon Bogs, PHD

Practitioner Clinical Psychologist Warwick, RI

Practice location

Address
400 Bald Hill Rd Suite 517, Warwick, RI 02886-1617
Phone
(401) 732-1500
Mailing address
1075 Smith St, Providence, RI 02908-2700

Registered specialties (3)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS01420 (RI)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY25755 (CA)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Registry record

NPI
1043385081
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Nov 2006
Record last updated
18 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.