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Sandra E. Duclos, Ph.D., Inc.

Company Details

Name: Sandra E. Duclos, Ph.D., Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 28 Jun 2005 (20 years ago)
Date of Dissolution: 22 Aug 2018 (7 years ago)
Date of Status Change: 22 Aug 2018 (7 years ago)
Identification Number: 000149331
ZIP code: 02860
County: Providence County
Purpose: TO CONDUCT THE PRACTICE OF PSYCHOLOGY
Principal Address: Google Maps Logo 187 GLENWOOD AVENUE, PAWTUCKET, RI, 02860, USA

Industry & Business Activity

NAICS

621330 Offices of Mental Health Practitioners (except Physicians)

This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
SANDRA E. DUCLOS Agent 6 BLACKSTONE VALLEY PLACE SUITE 401, LINCOLN, RI, 02865, USA

PRESIDENT AND TREASURER

Name Role Address
SANDRA E. DUCLOS PRESIDENT AND TREASURER 187 GLENWOOD AVENUE PAWTUCKET, RI 02860 USA

VICE PRESIDENT AND SECRETARY

Name Role Address
FERMAN J. DUCLOS JR. VICE PRESIDENT AND SECRETARY 187 GLENWOOD AVENUE PAWTUCKET, RI 02860 USA

National Provider Identifier

NPI Number:
1497788541

Authorized Person:

Name:
DR. SANDRA E. DUCLOS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
4013349105

Filings

Number Name File Date
201875230080 Articles of Dissolution 2018-08-22
201858706920 Annual Report 2018-02-21
201734950450 Annual Report 2017-02-28
201692003070 Statement of Change of Registered/Resident Agent Office 2016-02-05
201691518070 Annual Report 2016-01-30

Date of last update: 27 May 2025

Sources: Rhode Island Department of State