Individual
MRS. JOANNA FUTRANSKY LERISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
321 HOPE STREET, PROVIDENCE, RI 02906-2209
(401) 421-1405
(401) 331-8223
Mailing address
321 HOPE STREET, PROVIDENCE, RI 02906-2209
(401) 421-1405
(401) 331-8223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00570
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411402
CHP
RI
01
—
6101040
UHC
MA
01
—
6101040
UHC
RI
Enumeration date
10/18/2006
Last updated
07/08/2007
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