Provider Demographics
NPI:1417141771
Name:TILGHMAN-OSBORNE, CARLOS (PHD)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:TILGHMAN-OSBORNE
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 TEN ROD RD STE C206
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4127
Mailing Address - Country:US
Mailing Address - Phone:401-294-0451
Mailing Address - Fax:401-799-5938
Practice Address - Street 1:1130 TEN ROD RD STE C206
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4127
Practice Address - Country:US
Practice Address - Phone:401-799-5938
Practice Address - Fax:401-267-4990
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01662103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical