Whalio Doctors

NPI 1063498996

Jennifer Duncan Davis, PHD

Practitioner Clinical Neuropsychologist Providence, RI

Practice location

Address
593 Eddy St Pob 430, Providence, RI 02903-4923
Phone
(401) 444-4500
Fax
(401) 444-6643
Mailing address
593 Eddy St Apc 978, Providence, RI 02903-4923

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PS00820 (RI)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS00820 (RI)

Registry record

NPI
1063498996
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Dec 2005
Record last updated
20 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.