Mrs. TARA MABEL BRANNON BOGS Ph.D.
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1043385081- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Ph.D.
- Status
- Active
Contact & Location
- Address
- 400 BALD HILL RD SUITE 517, WARWICK, RI, 028861617
- Phone
- (401) 732-1500
Specialties & Taxonomies
Psychologist, Clinical
License: CA #PSY25755
Counselor, Mental Health
Psychologist, Clinical
Primary License: RI #PS01420