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Dr. Lucille Waagen, Ph.D., LP

Psychologist, Counseling in Providence, RI. Individual provider (NPI-1).

NPI number1164233003
StatusActive
Last updated in NPPESJul 22, 2026

Details

NPI
1164233003
Entity type
Individual (NPI-1)
Name
Dr. Lucille Waagen
Credential
Ph.D., LP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 20, 2025
Certification date
Jul 22, 2026
Last updated
Jul 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC1900X Psychologist, Counseling655NDYes

Practice location

111 Wayland Ave
Providence, RI 02906-4371

Phone 401-330-5882

Mailing address

630 Smithfield Rd Apt 708
North Providence, RI 02904-2930

Phone 406-478-3190

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Other Counseling Psychologist providers in Providence, RI

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