Individual
LISA JEAN WHOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
43 BROAD ST, WESTERLY, RI 02891-1977
(401) 315-4847
(401) 596-0088
Mailing address
43 BROAD ST, WESTERLY, RI 02891-1977
(401) 315-4847
(401) 596-0088
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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