Healthcare Provider Details

I. General information

NPI: 1699346015
Provider Name (Legal Business Name): CHRISTOPHER CURRAN DEWEY PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 LLOYD AVE # 1
PROVIDENCE RI
02906-1553
US

IV. Provider business mailing address

155 FEDERAL WAY APT 202
JOHNSTON RI
02919-4675
US

V. Phone/Fax

Practice location:
  • Phone: 401-330-5882
  • Fax: 401-226-0137
Mailing address:
  • Phone: 781-820-1640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS01967
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: