Individual
JAMIE L HOLLENBECK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1148
(401) 432-1137
Mailing address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1148
(401) 432-1137
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00638
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30162-2
BLUE CROSS
RI
01
—
407302
BLUE CHIP
RI
05
—
JH25635
—
RI
Enumeration date
06/12/2006
Last updated
07/08/2007
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