Healthcare Provider Details

I. General information

NPI: 1689021768
Provider Name (Legal Business Name): DR. AMY CAMERON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2016
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 GEORGE WASHINGTON HIGHWAY SUITE B200
LINCOLN RI
02865
US

IV. Provider business mailing address

91 POINT JUDITH RD STE 26
NARRAGANSETT RI
02882-3468
US

V. Phone/Fax

Practice location:
  • Phone: 401-294-0451
  • Fax:
Mailing address:
  • Phone: 401-812-5174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS01558
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: