Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Center for Dynamic and Behavioral Therapy LLC

Organization Clinical Psychologist · NPI 1790207876

Center for Dynamic and Behavioral Therapy LLC is a Clinical Psychologist in Providence, Rhode Island. Works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

382 Thayer St
Providence, RI 02906-1558
Phone: (401) 330-5882
Fax: (401) 226-0137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 Lloyd Ave # 1, Providence, RI 02906-1553 — (401) 330-5882

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS01616 (RI)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS01615 (RI)

Record details

NPI number1790207876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Issa — Owner · (401) 330-5882
Other names Pvd Psychological Associates
NPI enumeratedJuly 11, 2017
Last updated in NPPESJuly 25, 2021
Certification dateJuly 25, 2021
Mailing address11 S Angell St # 405, Providence, RI 02906-5206

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