Individual
DR. DIANA JESSIE TIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
(513) 712-4838
Mailing address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
(513) 712-4838
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
P.07631
OH
103TC0700X
Clinical Psychologist
PSY.0004409
CO
103TF0000X
Family Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
01/07/2019
Last updated
12/09/2024
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