Individual
JILL HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
400 MASSASOIT AVE STE 305, EAST PROVIDENCE, RI 02914-2012
(401) 294-0451
Mailing address
1130 TEN ROD RD STE E305, N KINGSTOWN, RI 02852-4176
(401) 294-0451
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
10768
MA
103TC0700X
Clinical Psychologist
Primary
PS01841
RI
Other
Enumeration date
08/24/2018
Last updated
12/15/2022
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