Individual
JEANETTA MC TIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3993 TYRONE BLVD N, ST PETERSBURG, FL 33709-4106
(727) 555-1212
Mailing address
PO BOX 11855, ST PETERSBURG, FL 33733-1855
(727) 555-1212
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
06/15/2010
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