Individual
HOLLY MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4515
(401) 444-7018
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS00825
RI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS00825
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS00825
MEDICAL LICENSE
RI
Enumeration date
03/01/2007
Last updated
02/11/2019
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