Provider Demographics
NPI:1962805200
Name:ADAMS-LABONTE, SUE (PHD)
Entity type:Individual
Prefix:DR
First Name:SUE
Middle Name:
Last Name:ADAMS-LABONTE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SUE
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:6 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-3138
Mailing Address - Country:US
Mailing Address - Phone:401-234-1251
Mailing Address - Fax:
Practice Address - Street 1:6 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-3138
Practice Address - Country:US
Practice Address - Phone:401-234-1251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01149103TB0200X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral