Provider Demographics
NPI:1326893868
Name:ALBANESE, ARIANA (PHD)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:ALBANESE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 WEEDEN AVE
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-1718
Mailing Address - Country:US
Mailing Address - Phone:617-913-5736
Mailing Address - Fax:
Practice Address - Street 1:12 WEEDEN AVE
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:RI
Practice Address - Zip Code:02916-1718
Practice Address - Country:US
Practice Address - Phone:617-913-5736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS02244103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical