JENNIFER MARIE PRIMACK

PROVIDENCE, RI
NPI1255639910
Former NameJENNIFER MARIE LANE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: RI  PS01130)
Additional Taxonomies103TB0200X Psychologist, Cognitive & Behavioral
(Licence: RI  PS01130)
Enumeration Date2011-03-04
Last Update Date2011-03-04
Business Address
-- JENNIFER MARIE PRIMACK Ph.D.
345 BLACKSTONE BLVD DEPARTMENT OF PSYCHOSOCIAL RESEARCH
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6336
Mailing Address
-- JENNIFER MARIE PRIMACK Ph.D.
345 BLACKSTONE BLVD DEPARTMENT OF PSYCHOSOCIAL RESEARCH
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6336