Healthcare Provider Details

I. General information

NPI: 1053190561
Provider Name (Legal Business Name): JOELLE MARIE HARRINGTON ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 BRONCOS HWY
BURRILLVILLE RI
02830-1628
US

IV. Provider business mailing address

99 ALLEN ST UNIT 209
WOONSOCKET RI
02895-4399
US

V. Phone/Fax

Practice location:
  • Phone: 401-568-1320
  • Fax:
Mailing address:
  • Phone: 401-298-0088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number507223
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: