Individual
DEBORAH SEPINWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
154 WATERMAN ST, PROVIDENCE, RI 02906-3116
(401) 273-3322
(401) 270-5700
Mailing address
154 WATERMAN ST, PROVIDENCE, RI 02906-3116
(401) 273-3322
(401) 270-5700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0877
RI
103TB0200X
Cognitive & Behavioral Psychologist
0877
RI
103TC0700X
Clinical Psychologist
0877
RI
103TH0100X
Health Service Psychologist
0877
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29869-2
BLUE CROSS PROVIDER NUMBE
RI
01
—
412845
BLUE CHIP PROVIDER NUMBER
RI
Enumeration date
12/13/2006
Last updated
07/12/2007
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