Individual
DR. JACLYNN COSAN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
201 PENN CENTER BLVD STE 555, PITTSBURGH, PA 15235-5442
(412) 235-8210
(878) 999-2920
Mailing address
201 PENN CENTER BLVD STE 555, PITTSBURGH, PA 15235-5442
(412) 235-8210
(878) 999-2920
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019640
PA
Other
Enumeration date
09/30/2013
Last updated
04/23/2025
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