Individual
MRS. TIESHA PURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
23401 EMERY RD, CLEVELAND, OH 44128-5142
(216) 295-7792
Mailing address
2879 CHAMBERLIN BLVD, HUDSON, OH 44236-4504
(330) 931-8531
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
20805539
OH
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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