Individual
JESSICA B. EDWARDS GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
593 EDDY ST, PHYSICIAN'S OFFICE BUILDING, SUITE 122, PROVIDENCE, RI 02903-4923
(401) 444-4515
(401) 444-7018
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
8914
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01083
RI
Other
Enumeration date
10/01/2008
Last updated
02/01/2012
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