Individual
JIWON MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
400 MASSASOIT AVE STE 305, EAST PROVIDENCE, RI 02914-2012
(401) 294-0451
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS02391
RI
Other
Enumeration date
12/19/2023
Last updated
09/26/2025
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