Healthcare Provider Details

I. General information

NPI: 1831216415
Provider Name (Legal Business Name): DANA MARGARET OSOWIECKI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 ANGELL ST
PROVIDENCE RI
02906-3245
US

IV. Provider business mailing address

339 ANGELL ST
PROVIDENCE RI
02906-3245
US

V. Phone/Fax

Practice location:
  • Phone: 401-421-4561
  • Fax: 401-521-3456
Mailing address:
  • Phone: 401-421-4561
  • Fax: 401-521-3456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPS00738
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS00738
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: