Individual provider · Type 1 NPI
Tinatin Surguladze, DH.D.
Psychologist · Providence, RI
Practice location
205 Waterman St Suite 106
Providence, RI 02906
Mailing address
3 Burgess Rd
Foster, RI 02825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Psychologist | 103T00000X | 11259 (MA) |
| Psychologist Primary | 103T00000X | PS01795 (RI) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1700289360
Tinatin Surguladze, DH.D.'s National Provider Identifier is 1700289360, issued on Sep 26, 2014. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Providence, RI. The record was last updated on Apr 29, 2020.