Jenkins, Melissa A.

Jenkins, Melissa A. is an individual health care provider with primary practice located at 345 Blackstone Blvd , Providence RI 02906-4800. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Jenkins, Melissa A. can be contacted via phone (401) 455-6478.

Contact Information

Primary practice address
345 Blackstone Blvd Providence RI 02906-4800
Phone: (401) 455-6478
Fax: (401) 455-6309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS00555 Rhode Island
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS00555 Rhode Island

Profile Details

NPI number 1619060464
LBN Legal business name Jenkins, Melissa A.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1619060464 NPPES
Rhode Island Other 23890-6 BLUE CROSS
Rhode Island Other 406490 BLUE CROSS
Rhode Island Other 61-37907 BLUE CROSS

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