Individual
JESSICA S TISCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2144 PAGE RD, SUITE 102, DURHAM, NC 27703-5952
(919) 609-9812
Mailing address
2144 PAGE RD, SUITE 102, DURHAM, NC 27703-5952
(919) 609-9812
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
3246
NC
103TC0700X
Clinical Psychologist
Primary
3246
NC
103TC2200X
Clinical Child & Adolescent Psychologist
3246
NC
103TF0000X
Family Psychologist
3246
NC
103TH0004X
Health Psychologist
3246
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3246
NC
103TP2701X
Group Psychotherapy Psychologist
3246
NC
Other
Enumeration date
04/16/2007
Last updated
06/07/2010
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