Healthcare Provider Details

I. General information

NPI: 1215369004
Provider Name (Legal Business Name): CALEY BETH ARZAMARSKI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 WAMPANOAG TRL STE 3C
RIVERSIDE RI
02915-1217
US

IV. Provider business mailing address

1275 WAMPANOAG TRL STE 3C
RIVERSIDE RI
02915-1217
US

V. Phone/Fax

Practice location:
  • Phone: 401-206-0304
  • Fax:
Mailing address:
  • Phone: 401-206-0304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number10021
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS01543
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: