Anastacia Y. Kudinova
Anastacia Y. Kudinova is a Clinical Psychologist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2024.
- Licensed in
- RI
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1 Hoppin StProvidence, RI 02903-4141
Phone: (401) 444-8945
Fax: (401) 444-8742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Child & Adolescent Psychologist (primary) | Taxonomy 103TC2200X · Licence PS02153 (RI) |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X · Licence PS02153 (RI) |
Record details
| NPI number | 1316786668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 24, 2024 |
| Last updated in NPPES | June 14, 2024 |
| Certification date | June 14, 2024 |
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