Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Marie Erisman, PHD

Individual provider Clinical Psychologist · NPI 1427318104

Shannon Marie Erisman, PHD is a Clinical Psychologist in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

345 Blackstone Blvd
Providence, RI 02906-4800
Phone: (401) 455-6351
Fax: (401) 455-6698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS01283 (RI)

Record details

NPI number1427318104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 29, 2012
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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