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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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