Individual
GISELA GABRIELA JIMENEZ COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5099
(401) 432-1119
Mailing address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5099
(401) 432-1119
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02047
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
09/10/2018
Last updated
02/24/2022
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