| Doctor Name: | MRS. ROBERTA L TVENSTRUP |
| NPI Number: | 1427364736 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | ISW01155 |
| Business Practice Address: | 170 Fairview Ave Coventry, RI - 028167504 |
| Business Phone Number: | 4014867960 |
| Business Fax Number: | 4018261858 |
| Mailing Address: | 21 Audubon Ln, HOPE |
| State: | RI |
| Postal Code: | 028311628 |
| Phone Number: | 4014867960 |
| Fax Number: | 4018261858 |
| NPI Enumeration Date: | 08/24/2010 |
| NPI Last Update Date: | 08/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | ISW01155 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |