Individual
CAROL J FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 682-9033
(401) 432-1500
Mailing address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1284
(401) 432-1509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00690
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30154-7
BLUE CROSS
RI
01
—
408500
BLUE CHIP
RI
05
—
CF34801
—
RI
Enumeration date
06/13/2006
Last updated
01/06/2011
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