Provider Demographics
NPI:1952699852
Name:DRAGONE-HYDE, ROMINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROMINA
Middle Name:
Last Name:DRAGONE-HYDE
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 1:48 WHITEHALL WAY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-1875
Mailing Address - Country:US
Mailing Address - Phone:305-989-9175
Mailing Address - Fax:
Practice Address - Street 1:10 DORRANCE ST
Practice Address - Street 2:SUITE 700
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-2018
Practice Address - Country:US
Practice Address - Phone:401-519-3744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01219103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical