Individual
MELANIE SHARON FARKAS STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
(401) 432-1500
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
9342
MA
103TC0700X
Clinical Psychologist
Primary
PS01539
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215221304
—
RI
Enumeration date
06/06/2011
Last updated
07/21/2022
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