Individual
DR. ILSE DEYANIRA CARRIZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., CCFC
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02094
RI
Other
Enumeration date
07/19/2013
Last updated
10/19/2022
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