Hollenbeck, Jamie L

Hollenbeck, Jamie L is an individual health care provider with primary practice located at 1011 Veterans Memorial Pkwy , East Providence RI 02915-5061. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hollenbeck, Jamie L can be contacted via phone (401) 432-1148.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy East Providence RI 02915-5061
Phone: (401) 432-1148
Fax: (401) 432-1137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS00638 Rhode Island

Profile Details

NPI number 1558303677
LBN Legal business name Hollenbeck, Jamie L
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558303677 NPPES
Rhode Island Other 30162-2 BLUE CROSS
Rhode Island Other 407302 BLUE CROSS
Rhode Island MEDICAID JH25635 BLUE CROSS

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