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NPI 1962024869

IndividualActive

Chonlada Jarukitisakul, PHD

NPI 1962024869 · Psychologist · Providence, RI

Provider details

NPI number: 1962024869
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PHD
Sex: Female
Sole proprietor: Yes
License: 11069-PY-PR (MA)

Practice location

450 Brook Street

Providence, RI 02906

Phone: (401) 863-3476

More RI providers

Mailing address

69 Brown Street Box 1960

Providence, RI 02912-0001

Registry dates

Enumerated: 2020-05-13
Last updated: 2025-08-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Chonlada Jarukitisakul, PHD — NPI 1962024869, Providence, RI | NPI Central