Provider Demographics
NPI:1528255437
Name:MASTROSTEFANO-CURRAN, ELLEN MARIE (PSYD)
Entity type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:MARIE
Last Name:MASTROSTEFANO-CURRAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-1491
Mailing Address - Country:US
Mailing Address - Phone:401-349-3131
Mailing Address - Fax:401-349-2533
Practice Address - Street 1:7 AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-1491
Practice Address - Country:US
Practice Address - Phone:401-349-3131
Practice Address - Fax:401-349-2533
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01007103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical