| 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 (6 years ago) |
| Date of Status Change: | 22 Aug 2018 (6 years ago) |
| Identification Number: | 000149331 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 187 GLENWOOD AVENUE, PAWTUCKET, RI, 02860, USA |
| Purpose: | TO CONDUCT THE PRACTICE OF PSYCHOLOGY |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497788541 | 2006-07-09 | 2007-10-15 | 6 BLACKSTONE VALLEY PL, SUITE 109, LINCOLN, RI, 028651179, US | 6 BLACKSTONE VALLEY PL, SUITE 109, LINCOLN, RI, 028651179, US | |||||||||||||||||||
|
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| Phone | +1 401-334-9104 |
| Fax | 4013349105 |
Authorized person
| Name | DR. SANDRA E. DUCLOS |
| Role | PRESIDENT |
| Phone | 4013349104 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PS00498 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANDRA E. DUCLOS | Agent | 6 BLACKSTONE VALLEY PLACE SUITE 401, LINCOLN, RI, 02865, USA |
| Name | Role | Address |
|---|---|---|
| SANDRA E. DUCLOS | PRESIDENT AND TREASURER | 187 GLENWOOD AVENUE PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| FERMAN J. DUCLOS JR. | VICE PRESIDENT AND SECRETARY | 187 GLENWOOD AVENUE PAWTUCKET, RI 02860 USA |
| 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 |
| 201554047750 | Annual Report | 2015-01-22 |
| 201435625170 | Annual Report | 2014-02-15 |
| 201312311280 | Annual Report | 2013-02-21 |
| 201288805620 | Annual Report | 2012-01-30 |
| 201175346850 | Annual Report | 2011-02-21 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
