Organization
FORTUNATO PSYCHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA VICTORIA FORTUNATO PSY.D. (CLINICAL PSYCHOLOGIST)
(401) 489-3636
Entity
Organization
Contact information
Practice address
1 RICHMOND SQ, SUITE 217 W, PROVIDENCE, RI 02906-5139
(401) 489-3636
Mailing address
1 RICHMOND SQ, SUITE 217 W, PROVIDENCE, RI 02906-5139
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00986
RI
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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