Doctor Name: | DR. VANITHA G NAIR |
NPI Number: | 1003900085 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PS00990 |
Business Practice Address: | 68 Cumberland St Suite #102 Woonsocket, RI - 028953323 |
Business Phone Number: | 4013561940 |
Business Fax Number: | 4013561949 |
Mailing Address: | 68 Cumberland Street, Suite 102, Plaza Psychology And Psychiatry WOONSOCKET |
State: | RI |
Postal Code: | 02895 |
Phone Number: | 4013561940 |
Fax Number: | 4013561949 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS00990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |