Individual
SHAREEN HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
50 MAUDE ST, ELMHURST EXTENDED BLDG, 5TH FL, PROVIDENCE, RI 02908-4325
(401) 456-6587
(401) 456-2399
Mailing address
50 MAUDE ST, ELMHURST EXTENDED BLDG, 5TH FL, PROVIDENCE, RI 02908-4325
(401) 456-6587
(401) 456-2399
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01395
RI
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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