| Jo-ann L. Donatelli, Ph.d., Inc. | |
|
1 Richmond Square Suite 154e Providence RI 02906-5100 | |
| (401) 533-9994 | |
| (401) 531-1532 |
| Full Name | Jo-ann L. Donatelli, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1 Richmond Square, Providence, Rhode Island |
| Authorized Official Name and Position | Jo-ann Lynn Donatelli (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4015697640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jo-ann L. Donatelli, Ph.d., Inc. 1 Richmond Square Suite 100c Providence RI 02906-5154 Ph: (401) 533-9994 | Jo-ann L. Donatelli, Ph.d., Inc. 1 Richmond Square Suite 154e Providence RI 02906-5100 Ph: (401) 533-9994 |
| NPI Number | 1518414689 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518414689 | NPI | - | NPPES |
| JD69104 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS01056 (Rhode Island) | Primary |
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