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Contact Information

LAURA P ETRE, PSYD/CLINICAL PSYCHO
345 BLACKSTONE BLVD
1ST FLOOR WELD BUILDING
PROVIDENCE, RI02906
 Phone: 800-370-3651
 Fax: 860-510-0020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LAURA P ETRE · (Female)

NPI # 1386846392
Status Active
Credentials PSYD/CLINICAL PSYCHO
Entity Individual
Enumeration date 06/01/2007
Last updated 05/08/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • RI License # PS01112
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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