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Individual

DR. JILL M PFITZENMAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1090 NEW LONDON AVE, CRANSTON, RI 02920-3035
(401) 463-5778
(401) 463-3592
Mailing address
218 LAWRENCE DR, PORTSMOUTH, RI 02871-4063
(401) 954-4978
(401) 841-8841

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00703
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS00703
LICENSE
RI
Enumeration date
03/08/2006
Last updated
07/08/2007
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