Individual
KARYN HARTZ-MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 HOPPIN ST, CORO WEST, SUITE 204, 2.115, PROVIDENCE, RI 02903-4141
(401) 793-8860
(401) 793-8799
Mailing address
1011 VETERANS MEMORIAL PKWY, BRADLEY RESEARCH CENTER, CORO WEST, SUITE 204, 2.115, RIVERSIDE, RI 02915-5061
(401) 793-8860
(401) 793-8799
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01550
RI
363AM0700X
Medical Physician Assistant
24448
NY
Other
Enumeration date
04/01/2016
Last updated
07/17/2023
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