Provider Demographics
NPI:1487987863
Name:FUCCI, CHRISTINA MEI-CHIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MEI-CHIA
Last Name:FUCCI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:FUCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:400 BALD HILL ROAD
Mailing Address - Street 2:SUITE 530
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-349-3131
Mailing Address - Fax:401-921-5109
Practice Address - Street 1:400 BALD HILL ROAD
Practice Address - Street 2:SUITE 530
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-349-3131
Practice Address - Fax:401-921-5109
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01147103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI11999213OtherCAQH PROVIDER ID