Ryall, Jennifer Diane

Ryall, Jennifer Diane is an sole proprietor health care provider with primary practice located at 1087 Warwick Ave , Warwick RI 02888-3545. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ryall, Jennifer Diane can be contacted via phone (401) 461-6676.

Contact Information

Primary practice address
1087 Warwick Ave Warwick RI 02888-3545
Phone: (401) 461-6676
Fax: (401) 461-3165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01803 Rhode Island

Profile Details

NPI number 1972651552
LBN Legal business name Ryall, Jennifer Diane
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated May 6th, 2011 - about 15 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 1972651552 NPPES
Rhode Island Other 413750 BLUE CHIP
Rhode Island Other 1021740 BLUE CHIP
Rhode Island MEDICAID JR62069 BLUE CHIP
Rhode Island Other 319458 BLUE CHIP

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