Individual
ERNESTINE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
593 EDDY STREET, APC MAIN, PROVIDENCE, RI 02903-4923
(401) 444-5435
(401) 444-8301
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01109
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154731743
—
RI
Enumeration date
05/05/2014
Last updated
03/05/2026
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