Individual
JENNIFER L DYL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
31 SMITH AVE, SUITE 2, GREENVILLE, RI 02828-1730
(401) 339-1816
(401) 830-5729
Mailing address
31 SMITH AVE, SUITE 2, GREENVILLE, RI 02828-1730
(401) 339-1816
(401) 830-5729
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00725
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30156-5
BLUE CROSS
RI
01
—
408421
BLUE CHIP
RI
Enumeration date
05/31/2006
Last updated
06/15/2010
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