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General NPI Number Information
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NPI Number | 1285214783
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Entity Type | Individual
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Provider Name | KATHERINE VISSER PHD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 38 N COURT ST STE 205
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City | PROVIDENCE
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State | RI
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Zip | 02903-1266
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Country | US
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Telephone | 401-389-0549
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Fax | 855-242-3222
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Provider Business Mailing Address
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Address Line | 38 N COURT ST STE 205
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City | PROVIDENCE
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State | RI
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Zip | 02903-1266
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Country | US
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Telephone | 401-389-0549
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Fax | 855-242-3222
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS01959
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License Number State | RI
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