Individual
DR. HEATHER A. CIESIELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3333 BURNET AVENUE, ML 3015, CINCINNATI, OH 45229-3026
(513) 636-4336
(513) 636-3677
Mailing address
3333 BURNET AVENUE, ML 5013, CINCINNATI, OH 45229-3026
(513) 636-5013
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2696
WI
103T00000X
Psychologist
Primary
6931
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39157000
—
WI
Enumeration date
11/07/2007
Last updated
09/07/2012
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