Healthcare Provider Details

I. General information

NPI: 1962805200
Provider Name (Legal Business Name): SUE ADAMS-LABONTE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUE ADAMS PH.D.

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 BROAD STREET SUITE B
WESTERLY RI
02891-3138
US

IV. Provider business mailing address

43 BROAD ST STE B
WESTERLY RI
02891-1977
US

V. Phone/Fax

Practice location:
  • Phone: 401-596-2302
  • Fax:
Mailing address:
  • Phone: 401-596-2302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPS01149
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS01149
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: