Individual
DR. JESSE J OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
109 UNIVERSITY SQ, ERIE, PA 16541-0002
(814) 871-7733
Mailing address
1047 W 28TH ST, ERIE, PA 16508-1527
(814) 871-7733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016186
PA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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