Individual
JESSICA M. CAPPELLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 MASSASOIT AVE STE 205, EAST PROVIDENCE, RI 02914-2012
(401) 294-0451
Mailing address
400 MASSASOIT AVE STE 305, EAST PROVIDENCE, RI 02914-2012
(401) 294-0451
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PS01603
RI
Other
Enumeration date
07/31/2016
Last updated
03/17/2018
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