Individual
JENNIFER DUNCAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
593 EDDY ST, POB 430, PROVIDENCE, RI 02903-4923
(401) 444-4500
(401) 444-6643
Mailing address
593 EDDY ST, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-7865
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS00820
RI
103TC0700X
Clinical Psychologist
PS00820
RI
Other
Enumeration date
12/22/2005
Last updated
01/20/2012
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