Individual
DR. VANESSA LEE JETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
532 MAXWELL AVE, CINCINNATI, OH 45219-2408
(513) 559-2072
(513) 559-2009
Mailing address
532 MAXWELL AVE, CINCINNATI, OH 45219-2408
(513) 559-2072
(513) 559-2009
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5413
OH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
5413
OH
103TA0700X
Adult Development & Aging Psychologist
5413
OH
103TB0200X
Cognitive & Behavioral Psychologist
5413
OH
103TC0700X
Clinical Psychologist
Primary
5413
OH
103TC1900X
Counseling Psychologist
5413
OH
103TH0100X
Health Service Psychologist
5413
OH
103TR0400X
Rehabilitation Psychologist
5413
OH
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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