Individual
JESSICA SOMERVILLE RUFFOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS0000896
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29875-9
BCBS RI
RI
01
—
412854
BLUECHIP
RI
Enumeration date
07/10/2006
Last updated
02/14/2012
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