Pierce, Jean L

Pierce, Jean L is an individual health care provider with primary practice located at 40 11Th St , Cloquet MN 55720-1817. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Pierce, Jean L can be contacted via phone (218) 879-4559.

Contact Information

Primary practice address
40 11Th St Cloquet MN 55720-1817
Phone: (218) 879-4559
Fax: (218) 879-0282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0957 Minnesota

Profile Details

NPI number 1518067784
LBN Legal business name Pierce, Jean L
Credentials LP, MA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 15th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518067784 NPPES
Minnesota MEDICAID 594751100

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