NPI 1245477785

Sherri Lynn Provencal, PHD

Practitioner Clinical Neuropsychologist Pawtucket, RI

Practice location

Address: 555 Prospect St, Pawtucket, RI 02860-6200
Phone: (401) 729-6200
Fax: (401) 729-6203

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PS01063 (RI)

Other Clinical Neuropsychologist providers in Rhode Island →

Registry record

NPI: 1245477785
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jan 2009
Record last updated: 15 Jul 2010

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.