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Center for Dynamic and Behavioral Therapy LLC — NPI 1790207876, Providence, RI | NPI Central

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NPI 1790207876

OrganizationActive

Center for Dynamic and Behavioral Therapy LLC

NPI 1790207876 · Clinical Psychologist · Providence, RI

Provider details

NPI number: 1790207876
Entity type: Organization
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Organization subpart: No
Authorized official: Nicole Issa, Owner(401) 330-5882
License: PS01615 (RI)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense PS01616 (RI)
Behavioral Health & Social Service Providers
Clinical Psychologist103TC0700XLicense PS01615 (RI)
Behavioral Health & Social Service Providers

Practice location

382 Thayer St

Providence, RI 02906-1558

Phone: (401) 330-5882

Fax: (401) 226-0137

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

11 S Angell St # 405

Providence, RI 02906-5206

Other names (DBA / former)

Doing business as: Pvd Psychological Associates

Additional practice locations (1)

150 Lloyd Ave # 1
Providence, RI 02906-1553
Phone: (401) 330-5882
Fax: (401) 226-0137

Registry dates

Enumerated: 2017-07-11
Last updated: 2021-07-25
Certified: 2021-07-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.