Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tinatin Surguladze, DHD

Individual provider Counselor · NPI 1700289360

MS. Tinatin Surguladze, DHD is a Counselor in Providence, Rhode Island. Licensed in Massachusetts and Rhode Island. Registered with an NPI since 2014.

Licensed in
MA, RI
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

205 Waterman St Ste 106
Providence, RI 02906
Phone: (857) 333-0533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS01795 (RI)
Counselor Taxonomy 101Y00000X
Psychologist Taxonomy 103T00000X · Licence 11259 (MA)

Record details

NPI number1700289360
Entity typeIndividual (Type 1)
GenderFemale
Credentials DHD
Sole proprietorNo
NPI enumeratedSeptember 26, 2014
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020

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