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JESSICA SOMERVILLE RUFFOLO PH.D.

Clinical Neuropsychologist

Warwick, Rhode Island

Provider NPI: 1699708677

Provider Information:
 JESSICA SOMERVILLE RUFFOLO PH.D.
Gender: F
Sole Proprietor


Practice Location:
875 CENTERVILLE RD UNIT 2 WARWICK, RI 02886 US
Tel: 401-529-9921  Fax: 401-615-7544

Business Mailing Address:
875 CENTERVILLE RD UNIT 2 WARWICK, RI 02886 US
Tel: 401-529-9921  Fax: 401-615-7544

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
RIPS0000896

Other Provider Identifiers:

IssuerNumberStateType
BCBS RI29875-9RI01
BLUECHIP412854RI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS RI - Page 1

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