Provider Demographics
NPI:1801210125
Name:KILINSKI, MARY BETH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARY BETH
Middle Name:
Last Name:KILINSKI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:51 SOCKANOSSET CROSS RD
Mailing Address - Street 2:SUITE #203
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-5536
Mailing Address - Country:US
Mailing Address - Phone:401-270-4747
Mailing Address - Fax:401-270-4773
Practice Address - Street 1:51 SOCKANOSSET CROSS RD
Practice Address - Street 2:SUITE #203
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5536
Practice Address - Country:US
Practice Address - Phone:401-270-4747
Practice Address - Fax:401-270-4773
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01405103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical