NPI 1962844894 · live from the CMS NPI Registry
Ilse Deyanira Carrizales, Ph.D., CCFC
Psychologist, Clinical in Riverside, RI. National Provider Identifier 1962844894, active.
NPI record
| NPI | 1962844894 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1011 Veterans Memorial Pkwy, Riverside, RI 02915 |
| Practice phone | 401-432-1000 |
| Mailing address | 117 Ellenfield St Ste 101, Providence, RI 02905 |
| Enumerated | July 19, 2013 |
| Last updated | October 19, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PS02094 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.