Doctor Name: | DR. JANET B PIERUCCI |
NPI Number: | 1366447229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH D |
License Number: | PSY12731 |
Business Practice Address: | 5901 Encina Rd Ste A Goleta, CA - 931172270 |
Business Phone Number: | 8058458989 |
Business Fax Number: | 8055440863 |
Mailing Address: | 146 San Jose Ct, SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934051532 |
Phone Number: | 8058458989 |
Fax Number: | 8055440863 |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 12/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY12731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |