Most Relevant Information
Provider Data
| NPI Number: | 1003301987 |
| Provider Name: | KEVIN FARRELL GAW PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PY0377 |
Most Important Dates
| Enumeration Date: | 06/25/2018 |
| Last Updated: | 06/25/2018 |
Provider Practice Location
25 TINGLEY DR
CUMBERLAND
RI
028644216
Practice Location Phone/Fax
| Phone: | 4014001382 |
| Fax: |
Provider Mailing Location
25 TINGLEY DR
CUMBERLAND
RI
028644216
Provider Mailing Phone/Fax
| Phone: | 4014001382 |
| Fax: |