Individual
JENNA NICOLE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(260) 705-7210
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-1669
HI
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1669
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669
LICENSE NUMBER
HI
Enumeration date
07/31/2017
Last updated
07/31/2017
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