| Doctor Name: | DR. JESSICA B MISNER |
| NPI Number: | 1437421278 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PY60236511 |
| Business Practice Address: | 19987 1st Ave S Ste 101 Normandy Park, WA - 981482400 |
| Business Phone Number: | 2067477274 |
| Business Fax Number: | |
| Mailing Address: | 19987 1st Ave S, Ste101 NORMANDY PARK |
| State: | WA |
| Postal Code: | 981482400 |
| Phone Number: | 2067477274 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2012 |
| NPI Last Update Date: | 03/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY60236511 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |