Provider Demographics
NPI:1790299485
Name:RAINVILLE, KERRI LYNNE (MS, CCLS)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:LYNNE
Last Name:RAINVILLE
Suffix:
Gender:F
Credentials:MS, CCLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 E MAIN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MA
Mailing Address - Zip Code:02322-1434
Mailing Address - Country:US
Mailing Address - Phone:401-309-6972
Mailing Address - Fax:
Practice Address - Street 1:72 E MAIN ST APT 2
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:MA
Practice Address - Zip Code:02322-1434
Practice Address - Country:US
Practice Address - Phone:401-309-6972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program