Organization
JO-ANN L. DONATELLI, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JO-ANN LYNN DONATELLI PHD (CLINICAL PSYCHOLOGIST)
(401) 569-7640
Entity
Organization
Contact information
Practice address
1 RICHMOND SQUARE, SUITE 154E, PROVIDENCE, RI 02906-5100
(401) 533-9994
(401) 531-1532
Mailing address
1 RICHMOND SQUARE, SUITE 100C, PROVIDENCE, RI 02906-5154
(401) 533-9994
(401) 531-1532
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01056
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JD69104
—
RI
Enumeration date
09/07/2016
Last updated
09/07/2016
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