Individual
MRS. ALISSA IANETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYS
Contact information
Practice address
7221 HARMONY GLEN DR, CONNEAUT, OH 44030-3198
(440) 224-2515
Mailing address
7221 HARMONY GLEN DR, CONNEAUT, OH 44030-3198
(440) 224-2515
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1416355
OH
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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