Jarukitisakul, Chonlada

Jarukitisakul, Chonlada is an individual health care provider with primary practice located at 69 Brown Street Page-Robinson Hall 512 , Providence RI 02912-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jarukitisakul, Chonlada can be contacted via phone (401) 863-3476.

Contact Information

Primary practice address
69 Brown Street Page-Robinson Hall 512 Providence RI 02912-0001
Phone: (401) 863-3476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 11069-PY-PR Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS01791 Rhode Island

Profile Details

NPI number 1962024869
LBN Legal business name Jarukitisakul, Chonlada
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2020
Last updated May 13th, 2020 - about 5 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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