Camila Souza Alves Cosmo, MD, MSc, PhD
Psychiatry & Neurology, Psychiatry in Providence, RI. Individual provider (NPI-1).
NPI number1982181715
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1982181715
- Entity type
- Individual (NPI-1)
- Name
- Camila Souza Alves Cosmo
- Credential
- MD, MSc, PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2018
- Certification date
- Jul 19, 2023
- Last updated
- Jul 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD18909 | RI | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | CLP04614 | RI |
Practice location
345 Blackstone BlvdProvidence, RI 02906-4800
Phone 617-414-4536
Mailing address
345 Blackstone BlvdProvidence, RI 02906-4800
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