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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CARLY MICHELLE GOLDSTEIN, PH.D.

Active Sole Proprietor

Health Psychologist · PROVIDENCE, RI

Registration Details

NPI Number
1255865218
Provider Type
Individual
Gender
Female
NPI Issued
Apr 17, 2017 (9.0114984695659 yrs)
Last Updated
Apr 17, 2017
Licenses
PS01614 (RI)
PS01614 (RI)
Sole Proprietor
Yes

Practice Information

Address
196 RICHMOND ST
PROVIDENCE, RI, 029034212
Browse RI providers · Browse ZIP 02903
Phone
4017938960
Fax
4017938943
Primary Specialty
Health Psychologist
103TH0004X
Additional Specialty
Health Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.