Whalio Doctors

NPI 1629419379

Roberta B. Hackett, RNCNS

Practitioner Psychoanalyst Providence, RI

Practice location

Address
70 Elmgrove Ave, Providence, RI 02906
Phone
(401) 272-0297
Mailing address
70 Elmgrove Ave., Providence, RI 02906

Registered specialties

Psychoanalyst Primary
Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence PNS00039 (RI)

Registry record

NPI
1629419379
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jul 2013
Record last updated
10 Jul 2013

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.