Individual
DR. CARYN WACHS MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
49 PAVILION AVE, SUITE 105, PROVIDENCE, RI 02905-1534
(401) 490-8972
(401) 289-2280
Mailing address
49 PAVILION AVE, SUITE 105, PROVIDENCE, RI 02905-1534
(401) 490-8972
(401) 289-2280
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00993
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CW67499
—
RI
Enumeration date
10/04/2006
Last updated
08/29/2013
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