Individual
MRS. DIANA M. PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
14123 PARK AVE, DOLTON, IL 60419-1048
(708) 896-7022
Mailing address
1979 LAKESIDE PKWY, STE 250, TUCKER, GA 30084-5935
(800) 849-5502
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1471983
IL
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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