Individual
KATHLEEN MARY RAFUSE PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
512 MAIN ST, WAKEFIELD, RI 02879-4006
(401) 789-7848
Mailing address
PO BOX 69, WAKEFIELD, RI 02880-0069
(401) 789-7848
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS00675
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22432-9
BLUE CROSS BLUE SHIELD OF
RI
01
—
412321
BLUE CROSS BLUE SHIELD OF
RI
Enumeration date
07/26/2007
Last updated
07/26/2007
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