Individual
MS. DIANA LYNNE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA TLLP
Contact information
Practice address
677 EAST MAIN ST, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Mailing address
677 EAST MAIN ST, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014546
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
10/28/2010
Last updated
10/28/2010
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