MEDICARE: NORA SANTAMOUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PS01469	RI

General Provider Information

NPI Number	:	1902208572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA SANTAMOUR

Provider Business Mailing Address
First Line	:	49 PAVILION AVE
Second Line	:	SUITE 105
City	:	PROVIDENCE
State	:	RI
Zip	:	02905-1534
Country	:	US
Telephone Number	:	401-490-8900
Fax Number	:	401-490-2619

Provider Business Practice Location Address
First Line	:	1130 TEN ROD RD STE C207
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4127
Country	:	US
Telephone Number	:	401-556-8881
Fax Number	:	401-267-1186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2014
Last Update Date	:	11/06/2025

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Directions to “ NORA SANTAMOUR ” Practice Location

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