Individual
JENNIFER STOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 432-1000
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02225
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2018
Last updated
02/26/2024
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