Individual
DR. MELISSA PERKINS-BANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
260 W EXCHANGE ST STE 210, PROVIDENCE, RI 02903-1000
(401) 351-7779
(401) 351-8188
Mailing address
260 W EXCHANGE ST STE 210, PROVIDENCE, RI 02903-1000
(401) 351-7779
(401) 351-8188
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
002942
CT
103G00000X
Clinical Neuropsychologist
PS01157
RI
103TC0700X
Clinical Psychologist
Primary
2941
CT
Other
Enumeration date
07/12/2009
Last updated
05/07/2019
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