Most Relevant Information
Provider Data
| NPI Number: | 1003695503 |
| Provider Name: | MICHELLE PROCACCINI |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 27603 |
Most Important Dates
| Enumeration Date: | 09/25/2023 |
| Last Updated: | 09/25/2023 |
Provider Practice Location
135 HARRISVILLE MAIN ST
HARRISVILLE
RI
028301413
Practice Location Phone/Fax
| Phone: | 4015681340 |
| Fax: |
Provider Mailing Location
135 HARRISVILLE MAIN ST
HARRISVILLE
RI
028301413
Provider Mailing Phone/Fax
| Phone: | 4015681340 |
| Fax: |