Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN MOITRA, PH.D.
ActiveETHAN MOITRA, PH.D. is a Clinical Psychologist healthcare provider located in EAST PROVIDENCE, Rhode Island. NPI 1699046276 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · EAST PROVIDENCE, RI
Registration Details
- NPI Number
- 1699046276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2012 (14.628829444308 yrs)
- Last Updated
- Jan 13, 2012
- License
-
PS01274 (RI)
Practice Information
- Address
-
400 MASSASOIT AVE STE 305RICBTEAST PROVIDENCE, RI, 029142012Browse RI providers · Browse ZIP 02914
- Phone
- 4012940451
- Fax
- 4012940461
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in EAST PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA J BELLANTI | PHD | 1508813791 |
| JOHN R BOEKAMP | PHD | 1790722627 |
| MICHAEL CHRISTOPHER BORDEN | PHD | 1447297387 |
| CLIFFORD BROMBERG | PHD | 1699712489 |
| KARYN K BLANE | PSYD | 1568409431 |
| FRANCINE A D'ELIA | PHD | 1619914454 |
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.