Individual
DR. JENNIFER ANNE KNETIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7100
OH
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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