DR. WANDA L RIEMAN, PH.D. - NPI NUMBER 1033491451

Summary

Provider Name: DR. WANDA L RIEMAN, PH.D.

NPI Number: 1033491451

Clasification: Clinical Neuropsychologist (103G00000X)

Address:
593 EDDY ST
PROVIDENCE, RI
ZIP 02903

Phone Number: (401) 444-4500



Detailed Information

DR. Wanda L Rieman, PH.D. is a clinical neuropsychologist in Providence, RI. The provider is an individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. The assigned NPI number for this provider is 1033491451 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

593 EDDY ST
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-4500
Fax: (401) 444-6643

The enumeration date for this NPI number is 9/12/2011 and was last updated on 11/19/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103G00000X Clinical Neuropsychologist Yes

NPI Record

No. Field Name Field Value
1 NPI 1033491451
2 Entity Type Code 1
3 Provider Last Name Legal Name RIEMAN
4 Provider First Name WANDA
5 Provider Middle Name L
6 Provider Name Prefix Text DR.
7 Provider Credential Text PH.D.
8 Provider First Line Business Practice Location Address 593 EDDY ST
9 Provider Business Practice Location Address City Name PROVIDENCE
10 Provider Business Practice Location Address State Name RI
11 Provider Business Practice Location Address Postal Code 029034923
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 4014444500
14 Provider Business Practice Location Address Fax Number 4014446643
15 Provider Enumeration Date 9/12/2011
16 Last Update Date 11/19/2014
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 103G00000X
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Sole Proprietor Y

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This page was last updated on: 1/13/2015
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.