Healthcare Provider Details

I. General information

NPI: 1174767552
Provider Name (Legal Business Name): ANN K ADLER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 ROLFE SQ FL 2
CRANSTON RI
02910-2809
US

IV. Provider business mailing address

37 ROLFE SQ FL 2
CRANSTON RI
02910-2809
US

V. Phone/Fax

Practice location:
  • Phone: 401-714-6109
  • Fax: 401-287-8766
Mailing address:
  • Phone: 401-714-6109
  • Fax: 401-287-8766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7231
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS00874
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS000874
License Number StateRI
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7231
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: