Whalio Doctors

NPI 1326659012

Jacob Adrian Lafo, PHD

Practitioner Clinical Neuropsychologist Providence, RI

Practice location

Address
593 Eddy St STE 430, Providence, RI 02903-4923
Phone
(401) 444-4500
Fax
(401) 444-6643
Mailing address
450 Veterans Memorial Pkwy STE 8b, East Providence, RI 02914-5315

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS01845 (RI)

Registry record

NPI
1326659012
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Aug 2020
Record last updated
30 Nov 2020

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.