Individual
JENNIFER LYNN ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
235 PLAIN ST, SUITE 501, PROVIDENCE, RI 02905-3240
(401) 444-7442
(401) 444-7109
Mailing address
593 EDDY ST, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-7865
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00721
RI
Other
Enumeration date
12/19/2005
Last updated
01/25/2012
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