| Doctor Name: | DR. PIERCE ROSS SKINNER |
| NPI Number: | 1558482687 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 35SI00230100 |
| Business Practice Address: | 268 Green Village Rd Green Village, NJ - 079350288 |
| Business Phone Number: | 9738229620 |
| Business Fax Number: | |
| Mailing Address: | Po Box 288, GREEN VILLAGE |
| State: | NJ |
| Postal Code: | 079350288 |
| Phone Number: | 9738229620 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 10/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35SI00230100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |