Organization
CERISSA BLANEY PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CERISSA BLANEY PHD (OWNER/PSYCHOLOGIST)
(401) 236-5222
Entity
Organization
Contact information
Practice address
18 MAPLE AVE # 292, BARRINGTON, RI 02806-3560
(401) 236-5222
Mailing address
18 MAPLE AVE # 292, BARRINGTON, RI 02806-3560
(401) 236-5222
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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