Individual
JARED DEVIN MINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
146 W RIVER ST, PROVIDENCE, RI 02904-2609
(401) 444-7442
(401) 444-7019
Mailing address
117 ELLENFIELD ST 101, PROVIDENCE, RI 02905-4513
(401) 444-4318
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01472
RI
Other
Enumeration date
10/01/2013
Last updated
09/30/2015
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