Individual
DR. JACQUELINE JACKSON KIKUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
43 ROYAL DR, WEST WARWICK, RI 02893-5424
(401) 826-1065
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS01335
RI
103TC0700X
Clinical Psychologist
Primary
PS01335
RI
Other
Enumeration date
08/31/2006
Last updated
02/05/2026
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