Healthcare Provider Details

I. General information

NPI: 1932761244
Provider Name (Legal Business Name): SARAH JASINSKI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. SARAH FRANCAZIO

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 11/01/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 WATERMAN ST STE 202
PROVIDENCE RI
02906-5215
US

IV. Provider business mailing address

245 WATERMAN ST STE 202
PROVIDENCE RI
02906-5215
US

V. Phone/Fax

Practice location:
  • Phone: 401-273-3322
  • Fax:
Mailing address:
  • Phone: 401-273-3322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS01782
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: